Individual
MRS. CINDY ANNE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS, JACKSON, MS 39216-4500
(601) 984-6525
(601) 984-6764
Mailing address
PO BOX 11407, DEPT #2130, UNIVERISTY PHYSICIANS, BIRMINGHAM, AL 35246-2130
(601) 984-6525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R523364
MS
363LF0000X
Family Nurse Practitioner
R523364
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118514
—
MS
01
—
500003207 GRP CC1164
RAILROAD MEDICARE
MS
01
—
P 00462309
RR MEDICARE
MS
Enumeration date
06/13/2006
Last updated
01/08/2014
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