1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JERRY MORGAN BULLARD CRNA
NPI 1598765919
Nurse Anesthetist, Certified Registered in Johnson City, TN

Active since July 28, 2005
1114 SUNSET DR, SUITE 4, JOHNSON CITY, TN 37604(423) 283-0776(423) 283-0549 Get Directions Write a Review

NPPES record last updated: October 28, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jerry Morgan Bullard Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY MORGAN BULLARD CRNA (NPI 1598765919) is an individual nurse anesthetist, certified registered in Johnson City, Tennessee, licensed in Tennessee (RN0000034015) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1598765919
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJERRY MORGAN BULLARDCredential: CRNA
Location Address1114 SUNSET DR, SUITE 4Johnson City, TN 37604-2969
Mailing AddressPo Box 3727Johnson City, TN 37602-3727 · (423) 283-0776 · Fax (423) 283-0549
Phone(423) 283-0776
Fax(423) 283-0549
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateOctober 28, 2009
✔ NPI 1598765919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · RN0000034015
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1114 SUNSET DR, Johnson City, TN 37604
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified3600367TN
Medicaid3600367TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER S GOLDEN CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DR. JOANNE E BACKOFEN M.D.
Anesthesiology
1114 SUNSET DR, STE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
MARTY DALE WALLACE CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DAN H BRANON CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
DR. ROBERT J SCHWIND M.D.
Anesthesiology
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
WILLIAM SENTER JACKSON CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
SHELLEY J KUDIALIS CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776
KATHERINE A HART CRNA
Nurse Anesthetist, Certified Registered
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604
Washington County (423) 283-0776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Bullard's NPI number?

The NPI number for Jerry Bullard is 1598765919. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jerry Bullard located?

Jerry Bullard practices at 1114 Sunset Dr Suite 4, Johnson City, TN 37604. The listed phone number is (423) 283-0776.

What is Jerry Bullard's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jerry Bullard was last updated on October 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.