Individual provider · Type 1 NPI

Olivia Naomie Bullard

Physician Assistant · Fairmont, NC

NPI number 1124815592 Active

Practice location

210 S Walnut St
Fairmont, NC 28340-1956

Fax (910) 628-5735

Mailing address

60 Commerce Plaza Cir
Pembroke, NC 28372-7386

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-15150 (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…

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About NPI 1124815592

Olivia Naomie Bullard's National Provider Identifier is 1124815592, issued on Apr 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairmont, NC. The record was last updated on May 12, 2025.