Individual
LIESL R BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5741
(901) 516-5986
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000011962
TN
Other
Enumeration date
06/04/2008
Last updated
01/22/2024
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