Individual provider · Type 1 NPI

Dawn Ullom, A.R.N.P

Nurse Practitioner · Brandon, FL

NPI number 1770529646 Active

Practice location

119 Oakfield Dr
Brandon, FL 33511-5779

Mailing address

14050 NW 14th St, Suite 190
Sunrise, FL 33323-2865

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XS65655 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1770529646

Dawn Ullom, A.R.N.P's National Provider Identifier is 1770529646, issued on Jun 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brandon, FL. The record was last updated on Jul 13, 2026.