Mendy L. Mullis, C-PA

Physician Assistant · Odon, IN

Individual Active NPI

NPI number 1063744456

Practice location

202 N West St
Odon, IN 47562-1032
Phone
(812) 636-7300
Fax
(812) 257-7073

Open in Google Maps

NPI record

NPI
1063744456
Entity type
Individual (Type 1)
Enumeration date
February 10, 2010
Last updated
June 23, 2023
Certified
June 23, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 10001157A IN

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone
(812) 254-2760
Fax
(812) 254-8636

About Mendy Mullis

Mendy L. Mullis, C-PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 202 N West St, Odon, IN 47562-1032. The NPI number 1063744456 was assigned on February 10, 2010 and the record was last updated on June 23, 2023.

Mendy Mullis lists a license in the registry: #10001157A (IN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mendy L. Mullis, C-PA?

The NPI number is 1063744456.

What is the phone number of Mendy Mullis?

The phone number listed for the practice location is (812) 636-7300.

Where is Mendy Mullis located?

202 N West St, Odon, IN 47562-1032.

What is the taxonomy code for Mendy Mullis?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.