NPI | 1427511260 |
---|---|
Professional Name | JOHNNY GLENN MULLINIKS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP188123) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2025-10-09 |