Individual provider · Type 1 NPI
Jessica Elaine Bullock, NP
Family Nurse Practitioner · Kahului, HI
NPI number
1609262278
Active
Practice location
33 Lono Ave Ste 250
Kahului, HI 96732-1634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2240 (HI) |
| Nurse Practitioner | 363L00000X | 19423 (SC) |
| Nurse Practitioner | 363L00000X | 2240 (HI) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1609262278
Jessica Elaine Bullock, NP's National Provider Identifier is 1609262278, issued on Apr 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kahului, HI. The record was last updated on Apr 30, 2025.