Individual
MS. DONNA MICHELLE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
600 JEFFERSON ST STE 600, LAFAYETTE, LA 70501-6987
(337) 202-0720
Mailing address
600 JEFFERSON ST STE 600, LAFAYETTE, LA 70501-6987
(337) 202-0720
(337) 465-4604
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9455453
FL
363LF0000X
Family Nurse Practitioner
20604
TN
363LF0000X
Family Nurse Practitioner
Primary
216033
LA
Other
Enumeration date
10/21/2015
Last updated
03/10/2021
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