COURTNEY BULLARD, AGNP-C
Nurse Practitioner - Adult Health
Active
Individual
NPI: 1134772304
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | No | 903421 (MS) |
| Nurse Practitioner - Adult Health | 363LA2200X | Yes | 903421 (MS) |
Frequently Asked Questions
NPI 1134772304 is the National Provider Identifier for COURTNEY BULLARD, AGNP-C, a Nurse Practitioner - Adult Health provider located in Southaven, MS. This NPI was enumerated on July 17, 2019.
COURTNEY BULLARD, AGNP-C practices at 60 PHYSICIANS LN, Southaven, MS 38671.
Quick Facts
- NPI
- 1134772304
- Type
- Individual
- Enumerated
- Jul 17, 2019
- Last Updated
- Jul 19, 2024
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