CHANEL D BULLOCK, APN, FNP-C, Family PARAGOULD, AR

Contact Information

CHANEL D BULLOCK, APN, FNP-C

2711 W KINGSHIGHWAY STE 10
PARAGOULD, AR 72450-2645

Phone: 877-522-1275
Fax: 833-888-7145
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for CHANEL D BULLOCK · (Female)

NPI #	`1346752151`
Status	Active
Credentials	APN, FNP-C
Entity	Individual
Enumeration date	11/02/2017
Last updated	11/12/2024 - More than a year ago
Sole proprietor ¹	No
Identifiers	AR License # A005316
Hospital affiliation(s)	ARKANSAS METHODIST MEDICAL CENTER - (Acute Care) 900 WEST KINGSHIGHWAY PARAGOULD, AR 72450 GREAT RIVER MEDICAL CENTER - (Acute Care) 1520 N DIVISION STREET BLYTHEVILLE, AR 72315 NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care) 4800 EAST JOHNSON AVENUE JONESBORO, AR 72401 ST BERNARDS MEDICAL CENTER - (Acute Care) 225 E JACKSON JONESBORO, AR 72401

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

Contact Information

Specialty

Family

NPI Profile & details for CHANEL D BULLOCK · (Female)

Reviews for CHANEL D BULLOCK

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