Individual
MR. BRIAN WADE PULLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1049 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2754
(850) 368-4670
(850) 378-5237
Mailing address
1723 PINE AVE, NICEVILLE, FL 32578-4600
(850) 368-4670
(850) 378-5237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005354
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11005354
FL
Other
Enumeration date
12/11/2019
Last updated
08/20/2025
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