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Contact Information

JAMIE BULLARD, CERTIFICATIONS
14017 TELEGRAPH RD
WOODBRIDGE, VA22192-4611
 Phone: 703-987-7444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for JAMIE BULLARD · (Female)

NPI Number 1962387860
Status Active
Credentials CERTIFICATIONS
Entity Individual
Enumeration date 08/08/2025
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 1251452831
  • VA License # 1506527
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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