National Provider Identifier

Precious Dominque Bullard

Precious Dominque Bullard is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 284-9198.

NPI 1588980528Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1588980528
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 15, 2010
Last Updated
April 15, 2010

Practice Location

  • 160 Parkside Ave
  • Rochester, NY 14609-4915

Phone: (585) 284-9198

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1588980528
Entity Type
Individual
Last Name
Bullard
First Name
Precious
Middle Name
Dominque
Mailing Street Address
160 Parkside Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-4915
Mailing Country
US
Mailing Phone
(585) 284-9198
Practice Street Address
160 Parkside Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-4915
Practice Country
US
Practice Phone
(585) 284-9198
Enumeration Date
April 15, 2010
Last Updated
April 15, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)