Provider Demographics
NPI:1184923872
Name:PULLEY, JANICE ALLEN (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ALLEN
Last Name:PULLEY
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2221
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-7221
Mailing Address - Country:US
Mailing Address - Phone:910-840-2154
Mailing Address - Fax:910-207-6326
Practice Address - Street 1:102 W MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4012
Practice Address - Country:US
Practice Address - Phone:910-840-2154
Practice Address - Fax:910-207-6326
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily