Tiffany Beth Mullins, RN
Individual provider Active NPI Registered Nurse · Pound, VA
NPI 1003402629 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1003402629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001228247 (VA)
- Practice address
- 11231 Indian Creek Rd
Pound, VA 24279 - Phone
- (276) 796-2200
- Fax
- (276) 796-2202
- NPI assigned
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001228247 | VA | MD | Registered Nurse |
| 0230012735 | VA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Lambert Pharmacy Inc. | Current |
Accepting new patients | |
| Tyfan Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230012735 | VA | |
| Registered Nurse | 163W00000X | 0001228247 | VA | Yes |
Addresses
Primary practice location
11231 Indian Creek Rd
Pound, VA 24279
Mailing address
PO Box 1480
Pound, VA 24279-1480
Phone (276) 796-2200
Other providers in Pound, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.