Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda E Bull

Individual provider Adult Health Nurse Practitioner · NPI 1396490058

Amanda E Bull is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2021, 5 years ago. Practices with St Vincent Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2022

Practice location Address checks out

415 N University Ave
Little Rock, AR 72205-3108
Phone: (501) 666-0249
Fax: (501) 552-5334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 219121 (AR)

Record details

NPI number1396490058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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