Individual provider · Type 1 NPI
Brent James Bullock, PMHNP, APRN
Psychiatric/Mental Health Nurse Practitioner · Orem, UT
NPI number
1649983198
Active
Practice location
1375 E 800 N
Orem, UT 84097-4435
Fax (877) 851-4180
Mailing address
1375 E 800 N Ste 202
Orem, UT 84097-4437
Other practice locations
- 1688 N 210 E, Orem, UT 84057-2203 · (385) 233-7689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8695221-8900 (UT) |
| Registered Nurse | 163W00000X | 8695221-3102 (UT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8695221-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Jeffrey P. Seagrove-Nelson, MSN, APRN, PMHNPPsychiatric/Mental Health Nurse Practitioner Orem, UT NPI 1306269394
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About NPI 1649983198
Brent James Bullock, PMHNP, APRN's National Provider Identifier is 1649983198, issued on Dec 29, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orem, UT. The record was last updated on Aug 10, 2026.