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Individual

MS. JAMIE BULLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFICATIONS

Contact information

Practice address
14017 TELEGRAPH RD, WOODBRIDGE, VA 22192-4611
(703) 987-7444
Mailing address
6111 OAKLAWN LN, WOODBRIDGE, VA 22193-3969

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1506527
VA
133NN1002X
Nutrition Education Nutritionist
1506527
VA
171400000X
Health & Wellness Coach
1251452831
VA
174H00000X
Health Educator
1251452831
VA

Other

Enumeration date
08/08/2025
Last updated
03/11/2026
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