| 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 |