JOSEPHINE L BULLOCK RN NPI 1124175526

NPI Information

NPI: 1124175526
Provider Name: JOSEPHINE L BULLOCK, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
4646 JOHN R ST
C1831
DETROIT, MI
ZIP 48201
Phone: (313) 576-4431
Get Directions

Josephine L Bullock, RN is a home health registered nurse in Detroit, MI. Josephine L Bullock, RN NPI is 1124175526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4646 JOHN R ST
C1831
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-4431
Fax: (313) 576-1812

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	4704095091	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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