Individual provider · Type 1 NPI
Traci A. Bullock, CRNP
Family Nurse Practitioner · Athens, AL
NPI number
1124668132
Active
Practice location
101 Fitness Way Ste 1200
Athens, AL 35611-2492
Fax (256) 232-1281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | I28281 (AL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1124668132
Traci A. Bullock, CRNP's National Provider Identifier is 1124668132, issued on Jan 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Athens, AL. The record was last updated on Jan 8, 2020.