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

Marlisa Bullock-Durham, NP

Individual provider Nurse Practitioner · NPI 1134555139

Marlisa Bullock-Durham, NP is a Nurse Practitioner in Denver, North Carolina. Qualified in 2013, 13 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and North Carolina.

Years since qualifying
13
Licensed in
MI, NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

269 Gillman Rd Ste 100
Denver, NC 28037-7923
Phone: (704) 316-4930
Fax: (704) 316-4931
Show map & directions

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

Additional practice locations (1)

  • 32661 W. 13 Mile, Farmington Hills, MI 48334 — (313) 268-7880

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5011333 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704222885 (MI)

Record details

NPI number1134555139
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 23, 2013
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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