Individual provider · Type 1 NPI
Ashley Renea Bullard
Adult Health Nurse Practitioner · Rochester, NY
NPI number
1144521402
Active
Practice location
4581 Lake Ave Apt C
Rochester, NY 14612-4528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309488 (NY) |
| Registered Nurse | 163W00000X | 696238-1 (NY) |
| Licensed Practical Nurse | 164W00000X | 302545-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1144521402
Ashley Renea Bullard's National Provider Identifier is 1144521402, issued on Nov 3, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rochester, NY. The record was last updated on Aug 13, 2026.