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NPI Profile for JENNIFER BULLOCK in ASHLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Health Educator |
174H00000X |
| NPI # | 1174908131 |
|
| Status | Active | |
| Credentials | RN, FNP | |
| Entity | Individual | |
| Enumeration date | 07/20/2015 | |
| Last updated | 05/20/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER BULLOCK
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JENNIFER BULLOCK, RN, FNP