Individual provider · Type 1 NPI

Jill M. Bullard, NP

Family Nurse Practitioner · Tifton, GA

NPI number 1649669003 Active

Practice location

2225 US Highway 41 N
Tifton, GA 31794-2749

Mailing address

1948 Old Ocilla Rd
Tifton, GA 31794-1644

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN174048 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1649669003

Jill M. Bullard, NP's National Provider Identifier is 1649669003, issued on Jan 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tifton, GA. The record was last updated on Dec 10, 2025.