IndividualActive
Jamie Bullard, CERTIFICATIONS
NPI 1962387860 · Nutritionist · Woodbridge, VA
Provider details
- NPI number
- 1962387860
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- CERTIFICATIONS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1506527 (VA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Other Service Providers
Other Service Providers
Practice location
14017 Telegraph Rd
Woodbridge, VA 22192-4611
Phone: (703) 987-7444
Approximate (ZIP-level) locationGet directions
Mailing address
6111 Oaklawn Ln
Woodbridge, VA 22193-3969
Registry dates
- Enumerated
- 2025-08-08
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.