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

MS. Chanel Dominque Bullock, APN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1346752151

MS. Chanel Dominque Bullock, APN, FNP-C is a Nurse Practitioner in Paragould, Arkansas. Qualified in 2017, 9 years ago. Practices with Ideal Telemedicine Services LLC, a 51-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2017
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2711 W Kingshighway Ste 10
Paragould, AR 72450-2645
Phone: (877) 522-1275
Fax: (833) 888-7145
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1710 Mayfield Dr, Jonesboro, AR 72401-4563 — (844) 215-0731
  • 108 N Shackleford Rd, Little Rock, AR 72211-2840 — (844) 215-0731

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A005316 (AR)

Record details

NPI number1346752151
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , FNP-C
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ideal Telemedicine Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Paragould