Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse Mullins

Individual provider Pharmacist · NPI 1346648268

Jesse Mullins is a Pharmacist in Johnson City, Tennessee. Licensed in Kentucky, North Carolina, Tennessee and Virginia. Registered with an NPI since 2014.

Licensed in
KY, NC, TN, VA
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

121 Boone Ridge Dr Ste 1006
Johnson City, TN 37615
Phone: (423) 282-0520
Fax: (423) 282-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0000038748 (TN)
Pharmacist Taxonomy 183500000X · Licence 0202213552 (VA)
Pharmacist Taxonomy 183500000X · Licence 24684 (NC)
Pharmacist Taxonomy 183500000X · Licence 017462 (KY)

Record details

NPI number1346648268
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2014
Last updated in NPPESDecember 9, 2014
Mailing addressPo Box 325, Dorton, KY 41520-0325

Other providers in Johnson City