Individual provider · Type 1 NPI

Kerry Demetria Bullard

Registered Nurse · Oxford, GA

NPI number 1083591846 Active

Practice location

110 Ashford Dr
Oxford, GA 30054-4646

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN721378 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083591846

Kerry Demetria Bullard's National Provider Identifier is 1083591846, issued on Aug 21, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Oxford, GA. The record was last updated on Aug 21, 2025.