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Mrs. Jacqueline Yvonne Bullock
Home Health Registered Nurse in Atlanta, Georgia
NPI 1982333431

Jacqueline Yvonne Bullock is a Home Health Registered Nurse based in Atlanta, GA and is specialized in Home Health. Jacqueline Yvonne Bullock practices in Atlanta, GA. The NPI Number for Jacqueline Yvonne Bullock is 1982333431 and holds a License No. CN001423501 (Georgia).

The current practice location address for Jacqueline Yvonne Bullock is 155 Treadwick Dr # 5653, Atlanta, GA and can be reached out via phone at 470-514-5954.

Location: 155 Treadwick Dr # 5653, Atlanta, GA, 30350-5653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982333431
Provider Name
Jacqueline Yvonne Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
155 Treadwick Dr # 5653, Atlanta, GA, 30350-5653
Phone Number
470-514-5954
Fax Number
Provider Enumeration Date
06/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 Treadwick Dr # 5653
City
Atlanta
State
Georgia
Zip
30350-5653
Phone Number
470-514-5954
Fax Number
person
Provider Business Mailing Address Details
Address
155 Treadwick Dr # 5653
City
Atlanta
State
Georgia
Zip
30350-5653
Phone Number
470-514-5954
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
CN001423501 (Tennessee)
Definition
Definition to come...
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