Individual
MS. JILLIAN BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A 1
Contact information
Practice address
815 SULPHUR SPRINGS RD, WARRENTON, NC 27589
(252) 433-8007
(252) 436-6008
Mailing address
PO BOX 311, HENDERSON, NC 27536-0311
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/16/2019
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