Blake David Bulger
Blake David Bulger is a Nurse Practitioner in Barling, Arkansas. Qualified in 2023, 3 years ago. Practices with Ketamine and IV Therapy Clinic of Nwa LLC, an 11-clinician group and offers telehealth. Licensed in Arkansas and Oklahoma.
- Years since qualifying
- 3
- Licensed in
- AR, OK
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10301 Mayo DrBarling, AR 72923-1660
Phone: (479) 494-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 226137 (AR) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 206761 (OK) |
Record details
| NPI number | 1861101586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2022 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 19, 2023 |
| Mailing address | 10301 Mayo Dr, Barling, AR 72923-1660 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Ketamine And Iv Therapy Clinic Of Nwa Llc — 11 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Barling
-
Tina Marie Gragg, NP
10301 Mayo Dr, Barling, AR 72923-1660 · (479) 494-5700
-
Kelley Danielle Griffith, APRN
10301 Mayo Dr, Barling, AR 72923-1660 · (479) 494-5700
-
Nickolle D Karns, APRN
10301 Mayo Dr, Barling, AR 72923-1660 · (479) 494-5700
-
Sondra D Posey
10301 Mayo Dr, Barling, AR 72923-1660 · (479) 494-5700