MRS. Tara Lea Bullock, ANP

NPI #1063410710 in London, Arkansas

Provider Information

NPI Number
1063410710
Entity Type
Individual
Name
MRS. Tara Lea Bullock, ANP
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Nurse Practitioner - Family
Credential
ANP
Enumeration Date
Jul 7, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
RR 1 BOX 371A
City
London
ZIP Code
72847-9602
Phone
(479) 968-1245

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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