Individual
MS. DEBORAH M. BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
165543
NC
363LF0000X
Family Nurse Practitioner
Primary
0050-02209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113081
—
NC
Enumeration date
10/12/2006
Last updated
08/08/2013
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