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

Nicole L. Mullis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1295257400

Nicole L. Mullis, FNP-C is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2017, 9 years ago. Practices with Innovis Health LLC, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
9
Licensed in
ND
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

301 Northern Pacific Ave N
Fargo, ND 58102-4835
Phone: (701) 271-3344
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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 R30211 (ND)

Record details

NPI number1295257400
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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