Individual provider · Type 1 NPI

Kimberly Sue Ellen Bullard, FNP-BC

Family Nurse Practitioner · Shallotte, NC

NPI number 1003772211 Active

About NPI 1003772211

Kimberly Sue Ellen Bullard, FNP-BC's National Provider Identifier is 1003772211, issued on Dec 31, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shallotte, NC. The record was last updated on May 5, 2026.