JESSICA ELAINE BULLOCK NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1609262278- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 33 LONO AVE STE 250, KAHULUI, HI, 967321634
- Phone
- (808) 500-3439
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: HI #2240
Nurse Practitioner
License: SC #19423
Nurse Practitioner
License: HI #2240