JENNIFER BULLOCK (NPI# 1174908131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174908131 |
| Entity Type | Individual |
| Full Name | JENNIFER BULLOCK |
| Credential | RN, FNP |
| Practice Address |
2780 E Barnett Rd 200 Medford OR 97504-8674 |
| Practice Telephone | 5418902663 |
| Mailing Telephone | 5418902663 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201608796NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 174H00000X | Health Educator | 201041940RN | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407287733 | Jennifer Tessie Bullock | Social Worker | 425 C St Ne, Peabody Elementary/dc Public Schools (dcps), Washington, DC 20002-5817 | 2013-12-12 |
| 1871747295 | Jennifer Bullock | Counselor | 245 S 16th St, Philadelphia, PA 19102-3303 | 2008-11-12 |
| 1346287976 | Jennifer Zane Bullock | Allergy & Immunology | 170 Northwoods Blvd Ste 120, Columbus, OH 43235-4711 | 2006-06-01 |
| 1164907986 | Jennifer Sullivan Bullock | Physical Therapist | 622 Mountain Village Blvd Ste 102, Mountain Village, CO 81435-9529 | 2018-09-27 |
| 1548685852 | Jennifer Bullock | Specialist | 7550 Forest Rd, Cincinnati, OH 45255-4307 | 2014-02-24 |
| 1609022813 | Jennifer Michelle Bullock | Social Worker | 4300 W 7th St, Little Rock, AR 72205-5446 | 2008-08-07 |
| 1326226465 | Jennifer Ashby Bullock | Social Worker | 1318 Broad St, Durham, NC 27705-3533 | 2008-01-31 |
| Street Address |
2780 E BARNETT RD 200 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316935414 | Darrell Theodore Weinman | Orthopaedic Surgery | 2780 E Barnett Rd, Suite 200, Medford, OR 97504-8343 | 2005-10-12 |
| 1811517550 | Jacob William Sealby | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2020-04-22 |
| 1245712074 | Elizabeth Kania | Physical Therapist | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2018-08-29 |
| 1063901007 | Daniel Merrill Coontz | Nurse Practitioner | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2018-05-04 |
| 1730692500 | Michael Jaskot | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-14 |
| 1740792316 | James Zheng Berking | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-11-03 |
| 1720598287 | Ryan Mcdaniel | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-10-10 |
| 1639601115 | Daniel Sequoyah Tuell | Physician Assistant | 2780 E Barnett Rd, Suite 200, Medford, OR 97504-8674 | 2017-04-03 |
| 1669910758 | Paige Heller | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-02-08 |
| 1801132519 | Erin M Winn | Physician Assistant | 2780 E Barnett Rd, Ste 320, Medford, OR 97504-8674 | 2012-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
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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.