Individual
MRS. NIKELLE SHARISSE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. S.
Contact information
Practice address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2450
(757) 727-2464
Mailing address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2450
(757) 727-2464
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000541
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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