Mrs. Kimberly Sue Ellen Bullard

FNP-BC | Nurse Practitioner - Family

4503 Main St Ste 1, Shallotte
  North Carolina, 28470-4583
910-754-2273
May or may not accept Medicare Nurse Practitioner in Shallotte, North Carolina.
Mrs. Kimberly Sue Ellen Bullard is a Shallotte, North Carolina based nurse practitioner who is specialized as Family NP. Active license number of Mrs. Kimberly Sue Ellen Bullard is 5023712 for Family NP in North Carolina. Her current practice location is 4503 Main St Ste 1, Shallotte. Patients can reach her at 910-754-2273 or can fax her at 910-754-2254. Mrs. Kimberly Sue Ellen Bullard is FNP-BC with specialization in Family NP and her NPI number (Unique professional ID assigned by NPPES) is 1003772211.
Mrs. Kimberly Sue Ellen Bullard delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mrs. Kimberly Sue Ellen Bullard speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mrs. Kimberly Sue Ellen Bullard
Specialization: Nurse Practitioner - Family (FNP)
Gender:Female
Credentials: FNP-BC
Practice Address:4503 Main St Ste 1, Shallotte,
North Carolina, 28470-4583
Phone:910-754-2273
Fax:910-754-2254
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1003772211
NPI Enumeration Date: 31 Dec, 2025
NPI Last Update On: 31 Dec, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kimberly Sue Ellen Bullard are as mentioned below.
License NumberSpecializationStateStatus
5023712Family NP North CarolinaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kimberly Sue Ellen Bullard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
5023712OtherNorth CarolinaSTATE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mrs. Kimberly Sue Ellen Bullard
4503 Main St Ste 1,
Shallotte, North Carolina
Zip: 28470-4583
Phone Number: 910-754-2273
Fax Number: 910-754-2253
Patients can reach Mrs. Kimberly Sue Ellen Bullard at 4503 Main St Ste 1, Shallotte, North Carolina or can call to book an appointment on 910-754-2273.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.