JERRY MORGAN BULLARD

JOHNSON CITY, TN
NPI1598765919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN0000034015)
Enumeration Date2005-07-28
Last Update Date2009-10-28
Business Address
-- JERRY MORGAN BULLARD CRNA
1114 SUNSET DR SUITE 4
JOHNSON CITY, TN 37604-2969
Phone number: 423-283-0776
Mailing Address
-- JERRY MORGAN BULLARD CRNA
PO BOX 3727
JOHNSON CITY, TN 37602-3727
Phone number: 423-283-0776