Individual
BRIANNA LYNN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 W CALL ST, TALLAHASSEE, FL 32304-3556
(850) 644-1855
Mailing address
1115 W CALL ST, TALLAHASSEE, FL 32304-3556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118640
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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