John Tyler Ulmer, MSN, FNP-C
Nurse Practitioner, Family in Winnsboro, LA. Individual provider (NPI-1).
NPI number1023640331
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1023640331
- Entity type
- Individual (NPI-1)
- Name
- John Tyler Ulmer
- Credential
- MSN, FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 208574 | LA | Yes |
Practice location
101 Fair AveWinnsboro, LA 71295-2117
Phone 318-435-8020
Mailing address
101 Fair AveWinnsboro, LA 71295-2117
Phone 318-435-8020
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