Patrice Gunter Bullock, MSN, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN060944 Issued in GA

Practice address

115 Circle Dr
Thomasville, GA 31792-4706

Phone

(229) 225-9830

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003974726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CIRCLE DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924706",
            "telephone_number": "229-225-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CIRCLE DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924706",
            "telephone_number": "229-225-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "PATRICE",
        "middle_name": "GUNTER",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN060944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S Bruhn, MD
• Kaylee Toole Bruner, PHARM.D., BCPS
• Alaura Legrace Bryant, LMSW
• Aymen Yousuf Bukannan, MD
• Mary Anne Bullard, M.D.
• Sadie H Burke
• Jason Odell Burnette, M.D.
• Jessica Burns, AGNP-C
• Rachel Burns, NP
• Kenneth James Burnsed Jr., APRN, FNP-BC

• All providers in Thomasville, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.