| Ms Deborah M Bullard, FNP-C | |
|
311-4e Judges Road, Wilmington, NC 28405-3655 | |
| (910) 791-6767 | |
| (910) 791-6890 |
| Full Name | Ms Deborah M Bullard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 311-4e Judges Road, Wilmington, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801985205 | NPI | - | NPPES |
| 6113081 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0050-02209 (North Carolina) | Primary |
| 363L00000X | Nurse Practitioner | 165543 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pride In North Carolina Llc | 9638105869 | 25 |
| Entity Name | Pride In North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deborah M Bullard, FNP-C 311-4e Judges Road, Wilmington, NC 28405-3655 Ph: (910) 791-6767 | Ms Deborah M Bullard, FNP-C 311-4e Judges Road, Wilmington, NC 28405-3655 Ph: (910) 791-6767 |
Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888 | |
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067 | |
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924 | |
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452 | |
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Kelly B Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095 |