Individual
BRITTANY YOUNG BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
(225) 765-2013
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5864
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224317
STATE LICENSE
LA
Enumeration date
05/18/2022
Last updated
02/21/2023
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