| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LINSEY BULLOCK | 1770939084 | 2024-09-06 |
Linsey Jane Branson [F] graduated in 2015 and primarily specializes in Nurse Practitioner.
Linsey Bullock is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770939084. Registration indicates Linsey Bullock is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 7719278803 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Linsey Bullock ARNP |
| Other Provider Name | Linsey Branson |
| Practice Office Address | 4665 S STATE ROAD 5 SOUTH WHITLEY, IN US |
| Practice Office Telephone | 2602489980 |
| Practice Office Fax | 2602489981 |
| Mailing Address | 11109 PARKVIEW PLAZA DR # 117 FORT WAYNE, IN 468451701 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 616 6th St | Bremerton, WA 983371420 | 3603773776 |
| 265 E Chubbuck Rd | Chubbuck, ID 832025055 | 2082371711 |
| 1352 E Center St | Pocatello, ID 83201 | 2082332025 / 2082332178 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP60635392
WA |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 71015472A
IN |