Individual
MR. JOHN ANDREW BULLINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ANP
Contact information
Practice address
2304 WESVILL CT, SUITE 240, RALEIGH, NC 27607-2973
(919) 235-1802
(919) 235-1354
Mailing address
2304 WESVILL CT, SUITE 240, RALEIGH, NC 27607-2973
(919) 571-1567
(919) 782-1472
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
214130
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004581
—
NC
Enumeration date
10/05/2010
Last updated
12/30/2024
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