SearchVirginia133N00000X

Jamie Bullard, CERTIFICATIONS

NPI 1962387860 · on the registry since 2025 · sole proprietor

Practice

Address
14017 Telegraph Rd
Woodbridge, VA 22192
Phone
(703) 987-7444
Organisation at this address
Healing Spectrum Llc
Holistic Longevity Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
133N00000X
133N00000X
Also registered as
133NN1002X
174H00000X
171400000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-11

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 Virginia