Provider Demographics
NPI:1346060092
Name:MULLEN, TERESA ELIZABETH (DNP)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ELIZABETH
Last Name:MULLEN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 ALUMNI CIR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75799-0001
Mailing Address - Country:US
Mailing Address - Phone:903-566-7320
Mailing Address - Fax:
Practice Address - Street 1:3010 ALUMNI CIR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75799-4716
Practice Address - Country:US
Practice Address - Phone:903-566-7320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX736621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse