Bullard, Courtney

Bullard, Courtney is an individual health care provider with primary practice located at 60 Physicians Ln , Southaven MS 38671-6122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bullard, Courtney can be contacted via phone (662) 688-5510.

Contact Information

Primary practice address
60 Physicians Ln Southaven MS 38671-6122
Phone: (662) 688-5510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 903421 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 903421 Mississippi

Profile Details

NPI number 1134772304
LBN Legal business name Bullard, Courtney
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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