Individual provider · Type 1 NPI

Eleanor Bullock

Nurse Practitioner · Covington, KY

NPI number 1902777477 Active

Practice location

322 Greenup St
Covington, KY 41011-1755

Mailing address

202 Athey St
Covington, KY 41011-2323

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN.CNP.0040298 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902777477

Eleanor Bullock's National Provider Identifier is 1902777477, issued on Sep 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Covington, KY. The record was last updated on Sep 16, 2025.