BIANCA ELAINE BULLIE

JACKSON, MS
NPI1083981757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  RN867841)
Enumeration Date2011-11-24
Last Update Date2012-08-06
Business Address
BIANCA ELAINE BULLIE CFNP
1500 E WOODROW WILSON
JACKSON, MS 39216
Phone number: 601-362-4471
Mailing Address
BIANCA ELAINE BULLIE CFNP
1500 E WOODROW WILSON
JACKSON, MS 39216
Phone number: 601-362-4471