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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACEY BULLARD, FNP

Active Sole Proprietor

MRS. TRACEY BULLARD, FNP is a Family Nurse Practitioner healthcare provider located in OAK GROVE, Kentucky. NPI 1033463880 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · OAK GROVE, KY

Registration Details

NPI Number
1033463880
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2012 (13.747443101512 yrs)
Last Updated
Dec 1, 2022
Licenses
3007747 (KY)
3007747 (KY)
Sole Proprietor
Yes

Practice Information

Address
13523 HERNDON OAK GROVE RD
OAK GROVE, KY, 422629369
Browse KY providers · Browse ZIP 42262
Phone
2708399697
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in OAK GROVE, KY

Name Credential NPI
DR. KIMBERLY CECIL-RIDDLE DNP, APRN, FNP-BC 1215171251
MS. JENNIFER JEAN JOHNSON FNP 1023381969
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.