National Provider Identifier
Melissa Kay Bullock, LPN
Melissa Kay Bullock, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1437849023
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 09, 2023
- Last Updated
- May 09, 2023
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 946-5722
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1437849023
- Entity Type
- Individual
- Last Name
- Bullock
- First Name
- Melissa
- Middle Name
- Kay
- Credential
- LPN
- Mailing Street Address
- 1519 Nye RD
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-9133
- Mailing Country
- US
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Enumeration Date
- May 09, 2023
- Last Updated
- May 09, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)