Individual
JOHN TYLER ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
101 FAIR AVE, WINNSBORO, LA 71295-2117
(318) 435-8020
Mailing address
101 FAIR AVE, WINNSBORO, LA 71295-2117
(318) 435-8020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
208574
LA
Other
Enumeration date
02/05/2020
Last updated
04/13/2020
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