Search › Mississippi › 363LA2200X
Courtney Bullard, AGNP-C
NPI 1134772304 · on the registry since 2019
Practice
- Address
- 60 Physicians Ln
Southaven, MS 38671 - Phone
- (662) 688-5510
- Organisation at this address
- Traent Llc
Whitehaven Ob-Gyn, P.C.
Family Ear Nose & Throat Care
Pandya-Lipman Eye Specialist, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi