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

Constance R Bullock, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104306620

Constance R Bullock, FNP-C is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6440 W 34th St
Indianapolis, IN 46224-1138
Phone: (317) 293-4930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Taylor Rd, Columbus, IN 47203-3908 — (812) 372-8481

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07180086 (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence MB4968143 (IN)

Record details

NPI number1104306620
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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