Individual provider · Type 1 NPI

Kristina Lynne Bullock, PA-C

Physician Assistant · Cary, NC

NPI number 1023553096 Active

Practice location

115 Kildaire Park Dr Ste 205
Cary, NC 27518-8127

Fax (919) 787-7247

Mailing address

3801 Wake Forest Rd, Ste 210
Raleigh, NC 27609-6864

Other practice locations

  • 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 · (919) 562-9410
  • 103 Professional Park Ste A, Oxford, NC 27565-2581 · (919) 562-9410
  • 200 W Parkview Dr Ste B, Henderson, NC 27536-5958 · (919) 562-9410
  • 6602 Knightdale Blvd Ste 310, Knightdale, NC 27545-6526 · (919) 562-9410
  • 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 · (919) 562-9410

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X219961 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

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About NPI 1023553096

Kristina Lynne Bullock, PA-C's National Provider Identifier is 1023553096, issued on Dec 30, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cary, NC. The record was last updated on May 1, 2019.