Individual
SAMUEL PULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
171 DR TT LEWIS CIR, CHARLESTON, MS 38921-2400
(662) 607-5529
Mailing address
254 COUNTY ROAD 10, TILLATOBA, MS 38961-2749
(662) 607-5529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06260549
MS
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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