NPI 1003772211

Kimberly Sue Ellen Bullard, FNPBC

Practitioner Family Nurse Practitioner Shallotte, NC

Practice location

Address: 4503 Main St STE 1, Shallotte, NC 28470-4583
Phone: (910) 754-2273
Fax: (910) 754-2254

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 5023712 (NC)

Other Nurse Practitioner providers in North Carolina →

Registry record

NPI: 1003772211
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2025
Record last updated: 5 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.