MARLISA BULLOCK, NP

NPI: 1134555139 · Individual · Active

Primary Specialty

Nurse Practitioner

Practice Location

269 GILLMAN RD STE 100
DENVER, NC 28037-7923 Map ↗
Phone: 704-316-4930
Fax: 704-316-4931

Mailing Address

PO BOX 60447
CHARLOTTE, NC 28260-0447 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Nurse Practitioner Primary (license: 5011333, NC)
  • Adult Health Nurse Practitioner — Adult Health (license: 4704222885, MI)

Other Practice Locations

32661 W. 13 mile
farmington hills, MI 48334 Map ↗
Phone: 313-268-7880

HIE Endpoints

  • DIRECT: mbullock710095@direct.novanthealth.org

NPI Registration

Enumerated: 2013-09-23

Last CMS Update: 2020-10-26