Traci A Bullock, CRNP Valid NPI

Individual provider · Family Nurse Practitioner · Athens, AL

NPI

1124668132

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

I28281 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2020-01-08

Last updated

2020-01-08