Individual
MRS. KIMBERLY SUE ELLEN BULLARD
Active
Individual
MRS. KIMBERLY SUE ELLEN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5023712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5023712
STATE
NC
Enumeration date
12/31/2025
Last updated
05/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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