Individual provider · Type 1 NPI

Traci Renee Pulliam, DNP

Family Nurse Practitioner · South Bend, IN

NPI number 1023533890 Active

Practice location

615 N Michigan St Fl 4
South Bend, IN 46601-1033

Call (574) 647-6892 Map

Fax (574) 647-6895

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007505A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1023533890

Traci Renee Pulliam, DNP's National Provider Identifier is 1023533890, issued on Aug 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Mar 31, 2021.