Sherry Thomas Mullenix, JD, RN

Individual provider Active NPI Registered Nurse · Mount Olive, AL

NPI 1104042571 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104042571
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
34337 (AL)
Practice address
2660 Mount Olive Rd
Mount Olive, AL 35117-3925
Phone
(205) 631-1201
Fax
(205) 608-1596
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Juris Doctor, Registered Nurse

State licenses

LicenseStateTypeSpecialty
34337ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
S & S Pharmaceuticals LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 34337 AL Yes

Addresses

Primary practice location

2660 Mount Olive Rd
Mount Olive, AL 35117-3925

Mailing address

PO Box 847
Gardendale, AL 35071-0847
Phone (205) 631-1201

Other providers in Mount Olive, AL

All providers in Mount Olive, AL · Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.