Individual
JENNIFER BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28508 SUNNYDALE RD, LIVONIA, MI 48154
(734) 788-9884
Mailing address
28508 SUNNYDALE RD, LIVONIA, MI 48154
(734) 788-9884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260896
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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