Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA LEA BULLOCK, ANP
ActiveMRS. TARA LEA BULLOCK, ANP is a Family Nurse Practitioner healthcare provider located in LONDON, Arkansas. NPI 1063410710 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LONDON, AR
Registration Details
- NPI Number
- 1063410710
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2005 (21.073631737732 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A01514 (AR)
Practice Information
- Address
-
RR 1 BOX 371ALONDON, AR, 728479602Browse AR providers · Browse ZIP 72847
- Phone
- 4799681245
- Fax
- 4799684137
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.