Tracey Bullard FNP

NPI 1033463880 - Clinical Nurse Specialist - 364SE0003X

NPI Details
NPI 1033463880
Gender Female
Enumeration Date 11/01/2012
Last Updated 11/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
13523 HERNDON OAK GROVE RD
OAK GROVE KY, 42262-9369, US
Phone (270) 839-9697
Fax
Business Location
13523 HERNDON OAK GROVE RD
OAK GROVE KY, 42262-9369, US
Phone (270) 839-9697
Fax
Toxanomy
Taxonomy Code 364SE0003X
License State Kentucky
License Number 3007747
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According to our database, Mrs. Tracey Bullard FNP NPI is 1033463880, taxonomy code is 364SE0003X and license number is 3007747, license state is located at Kentucky. Tracey Bullard FNP physically located at 13523 Herndon Oak Grove Rd, Oak Grove KY, 42262-9369. NPI Number Tracey Bullard FNP has the Individual type.

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1033463880 NPI number is provided on an as is basis without warranty of any kind. 1033463880 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Bullard FNP are for informational purposes only.