Individual
JENNIFER TAKA BULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP BC
Contact information
Practice address
1904 LONGMIRE RD STE 401, CONROE, TX 77304-5024
(281) 724-7980
Mailing address
200 W COMMERCE ST APT 102, DALLAS, TX 75208-1344
(903) 941-5928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1063676
TX
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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