SearchHawaii363LF0000X

Jessica Bullock, NP

NPI 1609262278 · on the registry since 2015

Practice

Address
33 Lono Ave Ste 250
Kahului, HI 96732
Phone
(808) 500-3439
Organisation at this address
Kahului Dental
Crscp Maui Inc
Maui Mind Care Llc
Center For Sight, Llc
Conrad C Theiss Dmd Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
363L00000X
Licence states on file
HI, SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii