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

Mr. John Harrison Mullins III, FNP

Individual provider Family Nurse Practitioner · NPI 1104168905

Mr. John Harrison Mullins III, FNP is a Nurse Practitioner in Johnson City, Tennessee. Graduated from University of Cincinnati College of Medicine in 2012, 14 years ago. Practices with Western Virginia Regional Emergency Physicians LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
14
Trained at
University of Cincinnati College of Medicine
Licensed in
TN, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17576 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024170760 (VA)

Record details

NPI number1104168905
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESFebruary 16, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Western Virginia Regional Emergency Physicians Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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