MS. BOBBI ANNETTE BULLOCK NURSE PRACTITIONER
NPI 1669620506
Nurse Practitioner - Family in Nampa, ID

Q: What is Bobbi Bullock's NPI number?

The NPI number for Bobbi Bullock is 1669620506. It was assigned to this individual provider in the NPPES registry on September 4, 2008. The provider is also known as Bobbi Annette Kern.

Q: What is Bobbi Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Bobbi Bullock was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 04, 2008

1611 12TH AVE RD, SUITE A, NAMPA, ID 83686(208) 468-9400 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Bobbi Annette Bullock Nurse Practitioner NPPES

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

MS. BOBBI ANNETTE BULLOCK NURSE PRACTITIONER (NPI 1669620506) is an individual family provider in Nampa, Idaho, licensed in Idaho (NP-879A) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1669620506

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. BOBBI ANNETTE BULLOCKCredential: NURSE PRACTITIONER

Location Address1611 12TH AVE RD, SUITE ANampa, ID 83686-7715

Mailing Address1611 12th Ave Rd, Suite ANampa, ID 83686-7715 · (208) 468-9400

Phone(208) 468-9400

Sole ProprietorNo

Enumeration DateSeptember 4, 2008

Last NPPES UpdateJanuary 23, 2014

✔ NPI 1669620506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP-879A

1611 12TH AVE RD, Nampa, ID 83686

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Other Names 1

Former Name (1)Bobbi Annette Kern

Other Providers at the Same Location NPPES 2

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

GARY GREGERSON, M.D., P.A.

Obstetrics & Gynecology

1611 12TH AVE RD, SUITE A
NAMPA, ID 83686

Canyon County (208) 468-9400

DR. GARY NED GREGERSON M.D.

Specialist

1611 12TH AVE RD, SUITE A
NAMPA, ID 83686

Canyon County (208) 468-9400

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 Bobbi Bullock's NPI number?

The NPI number for Bobbi Bullock is 1669620506. It was assigned to this individual provider in the NPPES registry on September 4, 2008. The provider is also known as Bobbi Annette Kern.

Where is Bobbi Bullock located?

Bobbi Bullock practices at 1611 12th Ave Rd Suite A, Nampa, ID 83686. The listed phone number is (208) 468-9400.

What is Bobbi Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bobbi Bullock was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.