Cody Renaldo Gullick, FNP-C
NPI #1205319530 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1205319530
- Entity Type
- Individual
- Name
- Cody Renaldo Gullick, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Sep 12, 2018
- Last Updated
- Sep 12, 2018
Practice Location
- Address
- 619 S STATE ST
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-6319
- Phone
- (662) 812-1229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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