Individual provider · Type 1 NPI

Tara Bullock

Licensed Practical Nurse · Wilmington, DE

NPI number 1427943463 Active

Practice location

501 W 39th St
Wilmington, DE 19802-2117

Call (302) 588-6566 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL2-0007255 (DE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1427943463

Tara Bullock's National Provider Identifier is 1427943463, issued on Jun 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wilmington, DE. The record was last updated on Jun 10, 2025.