Individual provider · Type 1 NPI
Savanna Marie Bullard, MSN, PMHNP-BC, IBCLC
Psychiatric/Mental Health Nurse Practitioner · La Plata, MD
NPI number
1164339867
Active
Practice location
1 Saint Marys Ave
La Plata, MD 20646-4037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2333473 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AC009849 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1164339867
Savanna Marie Bullard, MSN, PMHNP-BC, IBCLC's National Provider Identifier is 1164339867, issued on Aug 26, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Plata, MD. The record was last updated on Sep 25, 2026.