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

Shelly Laree Bullock

Individual provider Family Nurse Practitioner · NPI 1609677707

Shelly Laree Bullock is a Nurse Practitioner in Bay City, Texas. Graduated from University of Texas Medical Branch at Galveston in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
2
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2025

Practice location Address checks out

1120 Avenue G
Bay City, TX 77414-3541
Phone: (979) 245-5721
Fax: (979) 245-1482
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 1193041 (TX)

Record details

NPI number1609677707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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