Linda Nadene Bullock, FNP
Individual provider Active NPI Nurse Practitioner · Muleshoe, TX
NPI 1619975604 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1619975604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP103139 (TX)
- Practice address
- 208 W 2ND St
Muleshoe, TX 79347-3631 - Phone
- (806) 272-7736
- Fax
- (806) 227-2293
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP103139 | TX | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP103139 | TX | Yes |
Addresses
Primary practice location
208 W 2ND St
Muleshoe, TX 79347-3631
Mailing address
PO Box 119
Sudan, TX 79371-0119
Phone (806) 227-2292
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | provider@sudanmed.com |
Other providers in Muleshoe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.