National Provider Identifier Database

CHANEL D BULLOCK, APN, FNP-C – NPI #1346752151
Family


Contact Information

CHANEL D BULLOCK, APN, FNP-C
2711 W KINGSHIGHWAY STE 10
PARAGOULD, AR72450-2645
Phone: 877-522-1275
Fax: 833-888-7145
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CHANEL D BULLOCK

NPI Number 1346752151
Credentials APN, FNP-C
Entity Individual
Enumeration date 11/02/2017
Last updated 11/12/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • AR License #: A005316
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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