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

Miss. Glenda Pulliam, A-GNP

Individual provider Gerontology Nurse Practitioner · NPI 1952871055

Miss. Glenda Pulliam, A-GNP is a Nurse Practitioner in Millington, Tennessee. Qualified in 2018, 8 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Tennessee.

Years since qualifying
8
Licensed in
NC, SC, TN
In the registry since
2018
Specialties on file
4

Practice location Address checks out

4879 Navy Rd
Millington, TN 38053-2030
Phone: (704) 449-6400
Fax: (877) 800-9150
Show map & directions

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

Additional practice locations (3)

  • 2501 Bragg Blvd Ste A, Fayetteville, NC 28303-4141 — (910) 946-5676
  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243
  • 939 Springdale Dr, Clinton, SC 29325-7266 — (910) 742-9243

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 5012679 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 32063 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 22404 (SC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 32063 (TN)

Record details

NPI number1952871055
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedNovember 30, 2018
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

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 Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Millington