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

Mary L Bullis, NP

Individual provider Nurse Practitioner · NPI 1265825178

Mary L Bullis, NP is a Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
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

11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone: (833) 724-8326
Fax: (260) 266-7935
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005389A (IN)

Record details

NPI number1265825178
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 17, 2015
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

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