Connie Mullins, PHYSICIAN EXTENDER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

079592 Issued in NC

Practice address

1002 Dogwood Drive
Zebulon, NC 27597

Phone

(919) 404-4036

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497975817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PILOT-RILEY ROAD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275977798",
            "telephone_number": "919-269-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DOGWOOD DRIVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "27597",
            "telephone_number": "919-404-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "CONNIE",
        "credential": "PHYSICIAN EXTENDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "079592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Mizzelle
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• Cyndal Moore
• Morse Clinic of Zebulon PC
• Yvonne Motley, R.PH.
• Myeyedr Optometry of North Carolina, PLLC
• Emily Nedelman
• Genia Larese Newkirk
• Monique Newsome
• Nextstep Care LLC

• Family Nurse Practitioner in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.