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

Mrs. Tara Lea Bullock, ANP

Individual provider Family Nurse Practitioner · NPI 1063410710

Mrs. Tara Lea Bullock, ANP is a Family Nurse Practitioner in London, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005

Practice location Address checks out

Rr 1 Box 371A
London, AR 72847-9602
Phone: (479) 968-1245
Fax: (479) 968-4137
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A01514 (AR)

Record details

NPI number1063410710
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 13, 2026