Individual
LINSEY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4665 S STATE ROAD 5, SOUTH WHITLEY, IN 46787-9101
(260) 248-9980
(260) 248-9981
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015472A
IN
363LF0000X
Family Nurse Practitioner
AP60635392
WA
Other
Enumeration date
05/05/2016
Last updated
11/04/2024
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