JESSICA ELAINE BULLOCK (NPI# 1609262278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609262278 |
| Entity Type | Individual |
| Full Name | JESSICA ELAINE BULLOCK |
| Credential | NP |
| Practice Address |
50 Cross Park Ct Greenville SC 29605-4263 |
| Mailing Address |
1881 Nani St Wailuku HI 96793-1811 |
| Practice Telephone | 8647977035 |
| Mailing Telephone | 8088717772 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2240 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 19423 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182525 | Jessica Leigh Bullock | Speech-Language Pathologist | 16508 Se 24th St Ste 204, Vancouver, WA 98683-4321 | 2020-04-01 |
| 1467884353 | Jessica Bullock | Chiropractor | 1816 W Main St, Dothan, AL 36301-1320 | 2013-08-02 |
| Street Address |
50 CROSS PARK CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154715 | David M Robirds | Internal Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-04-20 |
| 1831618826 | Tonya Baker Perkins | Nurse Practitioner | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2017-09-12 |
| 1437578069 | Eva Marie Wolf | Internal Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2014-04-10 |
| 1073952131 | Carter Haden Edwards | Internal Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2013-06-21 |
| 1386843662 | Mind and Body Therapeutic Services, Inc. | Social Worker | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2007-07-16 |
| 1629179650 | Natalie Laura Albala | Internal Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-09-25 |
| 1558462648 | Todd Steven Albala | Internal Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-09-25 |
| 1922119940 | Vincent P Torres | Family Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-08-31 |
| 1013028000 | Steven M Newman | Family Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-08-31 |
| 1871604793 | Poinsett Family Practice | Family Medicine | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1760091482 | Melinda Kathryn Galford | Nurse Practitioner | 320 Falls St Apt 303, Greenville, SC 29601-2830 | 2020-07-28 |
| 1801414750 | Christopher Mangus | Nurse Practitioner | 1806 E 1st St Apt R9, Greenville, NC 27858-2214 | 2020-07-08 |
| 1932751559 | Caroline Gray Riddick | Nurse Practitioner | 527 Mills Ave # 201a, Greenville, SC 29605-5602 | 2019-07-13 |
| 1437621323 | Queeneice Boyette Ganison | Nurse Practitioner | 205 S Delta St, Greenville, MS 38703-4420 | 2018-12-18 |
| 1881169662 | Gerald Braden Wiggs | Nurse Practitioner | 3023 Fernleaf Dr, Greenville, NC 27858-8192 | 2018-10-09 |
| 1073091286 | Natalie Isbell Ragsdale | Nurse Practitioner | 20 Mcgee St, Greenville, SC 29601-2210 | 2018-07-31 |
| 1760980908 | Angela Nicole Gary | Nurse Practitioner | 1003 Grove Rd Ste C2, Greenville, SC 29605-4623 | 2018-01-23 |
| 1023527934 | Jennifer Anne Hovis | Nurse Practitioner | Hcr 2 5355, Greenville, MO 63944 | 2017-09-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
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| 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.