Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY BULLARD, AGNP-C
ActiveCOURTNEY BULLARD, AGNP-C is a Adult Health Nurse Practitioner healthcare provider located in SOUTHAVEN, Mississippi. NPI 1134772304 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1134772304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2019 (7.0494148682806 yrs)
- Last Updated
- Jul 19, 2024
- Licenses
-
903421 (MS)903421 (MS)
Practice Information
- Address
-
60 PHYSICIANS LNSOUTHAVEN, MS, 386716122Browse MS providers · Browse ZIP 38671
- Phone
- 6626885510
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| SHARONDA LAVETTE WALTON | ANP-BC | 1427333434 |
| COURTNEY DANIELLE GOODE | NP | 1356680573 |
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.