Individual
MOLLY SULLIVAN BYLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
121 COLLEGE ST., SMITHS GROVE, KY 42171
(270) 563-3000
(270) 783-3753
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 563-3000
(270) 783-3753
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3012205
KY
363LP2300X
Primary Care Nurse Practitioner
3012205
KY
Other
Enumeration date
02/16/2015
Last updated
06/07/2018
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