Individual
JAMIE-EVE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 798-4050
(207) 798-4015
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP131044
ME
Other
Enumeration date
06/24/2013
Last updated
07/14/2020
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