Bullard, Tracey
Bullard, Tracey is an sole proprietor health care provider with primary practice located at 13523 Herndon Oak Grove Rd , Oak Grove KY 42262-9369. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bullard, Tracey can be contacted via phone (270) 839-9697.Contact Information
Primary practice address
13523 Herndon Oak Grove Rd
Oak Grove KY 42262-9369
Phone: (270) 839-9697
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Emergency | 364SE0003X | 3007747 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007747 | Kentucky |
Profile Details
NPI number | 1033463880 |
---|---|
LBN Legal business name | Bullard, Tracey |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 2012 |
Last updated | Dec 1st, 2022 - 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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