JENNIFER ROSE BULLARD (NPI# 1124566757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124566757 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE BULLARD |
| Credential | LPN |
| Practice Address |
8429 Heather Cir Anchorage AK 99502-3906 |
| Mailing Address |
Po Box 877558 Wasilla AK 99687-7558 |
| Practice Telephone | 9072507471 |
| Mailing Telephone | 9072507471 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 6885 | AK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912731 | Jennifer Renae Bullard | Nurse Practitioner | 301 Cedar St Ste 206, Sandpoint, ID 83864-1425 | 2019-09-30 |
| 1659827376 | Jennifer Bullard | Nurse Practitioner | 28508 Sunnydale Rd, Livonia, MI 48154 | 2016-09-01 |
| 1437479193 | Jennifer E Bullard | Counselor | 5554 Amistad St, Fort Worth, TX 76137-5365 | 2010-06-04 |
| Street Address |
8429 HEATHER CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99502-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157897 | Thelma Desjarlais | Case Manager/Care Coordinator | 9201 Shorecrest Drive, Anchorage, AK 99502 | 2019-11-05 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1447736798 | Kelly Wilson | Assisted Living Facility | 8848 Gloralee St, Anchorage, AK 99502 | 2018-07-18 |
| 1912405770 | In His Image LLC | Custodial Care Facility | 2253 Mistybrook Cir, Anchorage, AK 99502 | 2018-01-26 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 1164827101 | Dante Kun | Counselor | 8000 West End Rd. (pt. Woronzof), Anchorage, AK 99502 | 2014-11-04 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1154580611 | Tonia Marie Taylor | Assisted Living Facility | 2821 Ruby Drive, Anchorage, AK 99502 | 2008-06-09 |
| Find all providers in zip 99502 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706662 | Cynthia Malina Franco | Licensed Practical Nurse | 670 W Fireweed Ln Ste 106, Anchorage, AK 99503-2562 | 2019-05-22 |
| 1306364237 | Kenya Renay Hurd | Licensed Practical Nurse | 670 W Fireweed Ln Ste 120, Anchorage, AK 99503-2562 | 2017-08-30 |
| 1154857431 | Emily Nicole Henry | Licensed Practical Nurse | 5500 E 38th Ct Apt 2, Anchorage, AK 99504-4330 | 2017-05-05 |
| 1275068504 | Timothy Shawn Hicks-glover Jr. | Licensed Practical Nurse | 4003 Minnesota Dr Apt 19, Anchorage, AK 99503-6453 | 2017-04-24 |
| 1619408770 | Ashley Long | Licensed Practical Nurse | 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 | 2017-03-21 |
| 1508307158 | Eileen Lloyd | Licensed Practical Nurse | 218 Skwentna Dr, Anchorage, AK 99504-4886 | 2017-03-15 |
| 1386187771 | Dorinda Charbonneau | Licensed Practical Nurse | 11041 Lake Otis Pkwy, Anchorage, AK 99516-1314 | 2016-12-02 |
| 1528510344 | Jessica Diane Crisp | Licensed Practical Nurse | 670 West Fireweed Lane, Suite 160, Anchorage, AK 99503 | 2016-10-27 |
| 1891144820 | Ryan Hartvigson | Licensed Practical Nurse | 1200 Columbine Ct Apt 72, Anchorage, AK 99508-2020 | 2016-06-09 |
| 1538523352 | Martha Tasiana Ellen Nelson | Licensed Practical Nurse | 3533 W 79th Ave, Anchorage, AK 99502-4310 | 2016-04-07 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.