Healthcare Provider Details

I. General information

NPI: 1386537850
Provider Name (Legal Business Name): KIRSTEN ALANA MULLINS DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 ASHLEY AVE
CHARLESTON SC
29425-8908
US

IV. Provider business mailing address

2910 CLEARWATER DR
MOUNT PLEASANT SC
29466-8250
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-1414
  • Fax:
Mailing address:
  • Phone: 484-639-7905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number259595
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: