MRS. Kimberly Sue Ellen Bullard, FNP-BC
NPI #1003772211 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1003772211
- Entity Type
- Individual
- Name
- MRS. Kimberly Sue Ellen Bullard, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Dec 31, 2025
- Last Updated
- Dec 31, 2025
Practice Location
- Address
- 4503 MAIN ST STE 1
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4583
- Phone
- (910) 754-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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