Courtney Bullard, AGNP-C
Courtney Bullard, AGNP-C is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2019, 7 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group. Licensed in Mississippi.
- Years since qualifying
- 7
- Licensed in
- MS
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
60 Physicians LnSouthaven, MS 38671-6122
Phone: (662) 688-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 903421 (MS) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 903421 (MS) |
Record details
| NPI number | 1134772304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | July 17, 2019 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Wound Management Specialists Llc — 158 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Southaven
-
Shannon Rose Woods, NP
401 Southcrest Cir Ste 212, Southaven, MS 38671-6726 · (662) 349-0488