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General NPI Number Information
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NPI Number | 1952871055
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Entity Type | Individual
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Provider Name | GLENDA PULLIAM A-GNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4879 NAVY RD
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City | MILLINGTON
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State | TN
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Zip | 38053-2030
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Country | US
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Telephone | 704-449-6400
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Fax | 877-800-9150
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Provider Business Mailing Address
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Address Line | 4879 NAVY RD
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City | MILLINGTON
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State | TN
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Zip | 38053-2030
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Country | US
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Telephone | 704-449-6400
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Fax | 877-800-9150
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 32063
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 22404
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5012679
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 32063
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License Number State | TN
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