Individual
LINDA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 DUTCH VALLEY RD, KNOXVILLE, TN 37918
(865) 689-1122
(865) 689-2923
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN0000035726
TN
Other
Enumeration date
03/13/2007
Last updated
01/21/2014
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