Crystal Suzanne Mullinax
Nurse Practitioner - Primary Care
701 Grove Rd
Greenville
, South Carolina 29605-4210
Crystal Suzanne Mullinax
Nurse Practitioner - Primary Care
701 Grove Rd
Greenville
, South Carolina 29605-4210
(864) 522-8603
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Crystal Suzanne Mullinax
- 300 E Mcbee Ave Fl 4
- Greenville, SC
- Zip : 29601-2842
- Phone : (864) 522-8603
Second Address
- Crystal Suzanne Mullinax
- 701 Grove Rd
- Greenville, SC
- Zip : 29605-4210
- Fax : (864) 455-5723
- Phone : (864) 455-3287
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Is Crystal Suzanne Mullinax a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 22421 | SC |
National Provider Identifier
| NPI | 1013473107 |
|---|---|
| Provider Name | Crystal Suzanne Mullinax |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29605-4210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2019 |
| Last Update Date | 12/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NP5880 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.