Individual provider · Type 1 NPI

Kenzie Allyn Bullock, APRN

Psychiatric/Mental Health Nurse Practitioner · Little Rock, AR

NPI number 1487531232 Active

Practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Call (501) 552-3000 Map

Mailing address

38 Sugarloaf Loop
Maumelle, AR 72113-6369

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	232103 (AR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1487531232

Kenzie Allyn Bullock, APRN's National Provider Identifier is 1487531232, issued on Aug 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Little Rock, AR. The record was last updated on Aug 20, 2025.