Individual
JAIME LEE BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 LAKE DR STE 201, RALEIGH, NC 27607-6689
(919) 783-4888
(919) 783-4887
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11527
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2021
Last updated
10/06/2021
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