SHEILA DIANE BULLOCK (NPI# 1366943334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366943334 |
| Entity Type | Individual |
| Full Name | SHEILA DIANE BULLOCK |
| Credential | FNP-C |
| Practice Address |
305 W Moody St Poplarville MS 39470-7338 |
| Practice Telephone | 6017954543 |
| Mailing Telephone | 6017954543 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902510 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 W MOODY ST |
| City | POPLARVILLE |
| State | MS |
| Zip Code | 39470-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1093335069 | Helen Hannaford | Speech-Language Pathologist | 305 W Moody St, Poplarville, MS 39470-7338 | 2020-04-20 |
| 1366062309 | Ashley Sheppard | Occupational Therapist | 305 W Moody St, Poplarville, MS 39470-7338 | 2020-04-20 |
| 1346895554 | Jacoby Bell | Social Worker | 305 W Moody St, Poplarville, MS 39470-7338 | 2019-08-05 |
| 1427396589 | William J Brown | Registered Nurse | 305 W Moody St, Poplarville, MS 39470-7338 | 2013-01-24 |
| 1124325287 | Forrest County General Hospital | Medicare Defined Swing Bed Unit | 305 W Moody St, Poplarville, MS 39470-7338 | 2011-02-24 |
| 1760789903 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470-7338 | 2011-02-24 |
| 1528376217 | Pearl River County Hospital Emergency Department | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470-7338 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735723 | Clarence Donald Case Jr. | Psychologist | Pearl River Family and Behavioral Health Clinic, 302 Hwy 11 S, Poplarville, MS 39470 | 2020-09-18 |
| 1285061895 | Freds Stores of Tennessee Inc | Pharmacy | 1388 South Main Street, Poplarville, MS 39470 | 2013-09-27 |
| 1972814127 | Grace Healthcare Dme | Durable Medical Equipment & Medical Supplies | 300 Highway 11, Suite D, Poplarville, MS 39470 | 2010-06-23 |
| 1881837128 | Cirila Reyes | Family Medicine | 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 | 2009-04-16 |
| 1053450320 | Pearl River County Hospital | General Acute Care Hospital | 305 West Moody Street, Poplarville, MS 39470 | 2007-02-05 |
| 1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
| 1669527503 | Kelvie Culpepper | Chiropractor | 859 Hwy 26 West, Poplarville, MS 39470 | 2007-01-23 |
| 1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
| 1831209477 | Ryan W Woods | Physical Therapist | 1403 South Main Street, Suite E, Poplarville, MS 39470 | 2006-08-30 |
| 1316336993 | Allison Sutton | Social Worker | 302 Highway 11 S, Poplarville, MS 39470 | 2015-01-20 |
| Find all providers in zip 39470 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427349273 | Mary Edith Denius | Nurse Practitioner | 6230 Highway 53, Poplarville, MS 39470-8416 | 2011-04-27 |
| 1477560878 | Laurie Cabral | Nurse Practitioner | 1222 S Main St, Poplarville, MS 39470-3318 | 2006-08-01 |
| 1376815134 | Grace P Ford | Nurse Practitioner | 302 Highway 11 S, Poplarville, MS 39470-2625 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | POPLARVILLE |
| Zip Code | 39470 |
Please comment or provide details below to improve the information on SHEILA DIANE BULLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.