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

Traci A Bullock, CRNP

Individual provider Family Nurse Practitioner · NPI 1124668132

Traci A Bullock, CRNP is a Nurse Practitioner in Athens, Alabama. Qualified in 2019, 7 years ago. Practices with Valley Obstetrics and Womens Pelvic Health Center, a 7-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2020
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Fitness Way Ste 1200
Athens, AL 35611-2492
Phone: (256) 236-0636
Fax: (256) 232-1281
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence I28281 (AL)

Record details

NPI number1124668132
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Valley Obstetrics And Womens Pelvic Health Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Athens