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Individual

MICHELLE BULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16470
TN

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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