Individual
CAROL A BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-8615
(336) 243-8624
Mailing address
13 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-8615
(336) 243-8624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010407
NC
363LF0000X
Family Nurse Practitioner
5010407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5010407
NC BON
NC
Enumeration date
03/22/2018
Last updated
06/05/2025
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