Individual
NIKEEA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4024499
KY
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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