# KATLYNN JOY DIGGS BULLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538997382
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 26NP49774000 | NJ | Yes |
| 376K00000X | Nurse's Aide | NA200032952 | NJ | — |

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024