Individual
HALEY ELLIS PULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 N 4TH ST, VIENNA, GA 31092-1115
(229) 231-5008
Mailing address
108 N 4TH ST, VIENNA, GA 31092-1115
(229) 231-5008
(229) 201-7327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003228559C
—
GA
Enumeration date
12/24/2019
Last updated
08/05/2025
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