Joseph Bullock, RN
Registered Nurse, Psych/Mental Health in Eureka, CA. Individual provider (NPI-1).
NPI number1982117487
StatusActive
Last updated in NPPESApr 14, 2023
Details
- NPI
- 1982117487
- Entity type
- Individual (NPI-1)
- Name
- Joseph Bullock
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2017
- Certification date
- Apr 14, 2023
- Last updated
- Apr 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 95271989 | CA | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 95271989 | CA |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Mailing address
1218 N Calvert St Apt 2fBaltimore, MD 21202-3976
Phone 703-321-6732
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