Katlynn Joy Diggs Bulle, LPN
Licensed Practical Nurse in Newark, NJ. Individual provider (NPI-1).
NPI number1538997382
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1538997382
- Entity type
- Individual (NPI-1)
- Name
- Katlynn Joy Diggs Bulle
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP49774000 | NJ | Yes |
| 376K00000X | Nurse's Aide | NA200032952 | NJ |
Practice location
780 Broadway Apt 2bNewark, NJ 07104-4350
Phone 551-257-8829
Mailing address
780 Broadway Apt 2bNewark, NJ 07104-4350
Phone 551-257-8829
Other practice locations
1725 Meridian Trl
Wall Township, NJ 07719-3869
Wall Township, NJ 07719-3869
Phone 551-257-8829
4 Plaza Dr
Toms River, NJ 08757-3756
Toms River, NJ 08757-3756
Phone 551-257-8829
175 Bartley Rd
Jackson, NJ 08527-1241
Jackson, NJ 08527-1241
Phone 551-257-8829
31 Gordon St
Cliffwood, NJ 07721-1068
Cliffwood, NJ 07721-1068
Phone 551-257-8829
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