Bullock, Anisa

Bullock, Anisa is an individual health care provider with primary practice located at 242 King Avenue Suite 210 , Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bullock, Anisa can be contacted via phone (706) 475-1700.

Contact Information

Primary practice address
242 King Avenue Suite 210 Athens GA 30606
Phone: (706) 475-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN220223 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN220223 Georgia

Profile Details

NPI number 1598235590
LBN Legal business name Bullock, Anisa
Credentials MSN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Mar 9th, 2022 - about 3 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.

Request for update

Popular Providers