NPI 1982117487 · live from the CMS NPI Registry
Joseph Bullock, RN
Registered Nurse, Psych/Mental Health in Eureka, CA. National Provider Identifier 1982117487, active.
NPI record
| NPI | 1982117487 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health 163WP0808X |
| Practice location | 720 Wood St, Eureka, CA 95501 |
| Practice phone | 707-268-2990 |
| Mailing address | 1218 N Calvert St Apt 2f, Baltimore, MD 21202 |
| Enumerated | November 7, 2017 |
| Last updated | April 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 95271989 (CA) |
| Registered Nurse, Psych/Mental Health primary | 163WP0808X | 95271989 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.