person
Mrs. Tara Lea Bullock, ANP
Family Nurse Practitioner in London, Arkansas
NPI 1063410710

Tara Lea Bullock is a Family Nurse Practitioner based in London, AR and is specialized in Family. Tara Lea Bullock practices in London, AR and has the professional credentials of ANP. The NPI Number for Tara Lea Bullock is 1063410710 and holds a License No. A01514 (Arkansas).

The current practice location address for Tara Lea Bullock is Rr 1 Box 371A, London, AR and can be reached out via phone at 479-968-1245 and via fax at 479-968-4137.

Location: Rr 1 Box 371A, London, AR, 72847-9602
person
Provider Profile Details
NPI Number
1063410710
Provider Name
Tara Lea Bullock
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
Rr 1 Box 371A, London, AR, 72847-9602
Phone Number
479-968-1245
Fax Number
479-968-4137
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Rr 1 Box 371A
City
State
Zip
72847-9602
Phone Number
479-968-1245
Fax Number
479-968-4137
person
Provider Business Mailing Address Details
Address
Rr 1 Box 371A
City
State
Zip
72847-9602
Phone Number
479-968-1245
Fax Number
479-968-4137
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A01514 (Arkansas)
Definition
Definition to come...
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