Individual provider · Type 1 NPI
Constance R. Bullock, FNP-C
Family Nurse Practitioner · Indianapolis, IN
NPI number
1104306620
Active
Practice location
6440 W 34th St
Indianapolis, IN 46224-1138
Mailing address
3675 S US Highway 31
Franklin, IN 46131-8142
Other practice locations
- 1901 Taylor Rd, Columbus, IN 47203-3908 · (812) 372-8481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | MB4968143 (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | F07180086 (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Kathleen L. Lampert, NPFamily Nurse Practitioner Indianapolis, IN NPI 1003217274
- Kelly Lentz, APRNFamily Nurse Practitioner Indianapolis, IN NPI 1003483157
- Salamatou Ibrahim, NPFamily Nurse Practitioner Indianapolis, IN NPI 1003528902
- Ann Kathleen Schmit, FNP-BCFamily Nurse Practitioner Indianapolis, IN NPI 1003561218
- Morgan Louise Solari, FNP-CFamily Nurse Practitioner Indianapolis, IN NPI 1003562281
- Jasmine Nicole HowardFamily Nurse Practitioner Indianapolis, IN NPI 1003602848
About NPI 1104306620
Constance R. Bullock, FNP-C's National Provider Identifier is 1104306620, issued on Aug 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 25, 2024.