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

Mr. Nathanael Lewis Mullins

Individual provider Registered Nurse · NPI 1871482174

Mr. Nathanael Lewis Mullins is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2025, 1 year ago. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 41695 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 272381 (TN)

Record details

NPI number1871482174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Johnson City