Individual provider · Type 1 NPI

Jamie Bullard, CERTIFICATIONS

Nutritionist · Woodbridge, VA

NPI number 1962387860 Active

Practice location

14017 Telegraph Rd
Woodbridge, VA 22192-4611

Mailing address

6111 Oaklawn Ln
Woodbridge, VA 22193-3969

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist 133NN1002X1506527 (VA)
Health Educator 174H00000X1251452831 (VA)
Nutritionist Primary 133N00000X1506527 (VA)
Health & Wellness Coach 171400000X1251452831 (VA)

Nutritionist: A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or grad…

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About NPI 1962387860

Jamie Bullard, CERTIFICATIONS's National Provider Identifier is 1962387860, issued on Aug 8, 2025. The primary taxonomy on file is Nutritionist (133N00000X), and the practice location is in Woodbridge, VA. The record was last updated on Mar 11, 2026.