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JESSICA BULLOCK PMHNP, RN
NPI 1750823530
Nurse Practitioner - Psychiatric/Mental Health in San Jose, CA

Active since November 10, 2016
4850 UNION AVE, SAN JOSE, CA 95124(800) 913-2615 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 21, 2021, Nov 10, 2016 (3 updates tracked since 2016).

About Jessica Bullock Pmhnp, Rn NPPES

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

JESSICA BULLOCK PMHNP, RN (NPI 1750823530) is an individual psychiatric/mental health provider in San Jose, California, licensed in California (95019999) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1750823530
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA BULLOCKCredential: PMHNP, RN
Location Address4850 UNION AVESan Jose, CA 95124-5156
Mailing Address4831 Rivervale DrSoquel, CA 95073-9727 · (503) 884-6518
Phone(800) 913-2615
Sole ProprietorNo
Enumeration DateNovember 10, 2016
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1750823530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95019999
Also ListedRegistered NurseTaxonomy 163W00000X · License 95146518 (CA), 201242077RN (OR)
4850 UNION AVE, San Jose, CA 95124
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Other Names 1

Other Name (5)Jessica Katherine - Milnes Bullock

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.

JODIE SUGIYAMA GNP
Nurse Practitioner (Gerontology)
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (408) 559-5600
DR. NEAL ELLIOT SLATKIN MD
Psychiatry & Neurology (Neurology)
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (408) 559-5600
LAUREN THOMAS MS, APCC
Counselor (Professional)
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (800) 913-2615
MS. MARY HELEN ZUCCARO FNP-BC
Nurse Practitioner (Family)
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (408) 559-5600
SANJANA RAMAN IYENGAR EMT
Emergency Medical Technician, Basic
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (800) 913-2615
DANA KATHLEEN ELLAZAR ESTIPONA
Marriage & Family Therapist
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (800) 913-2615
YAEL MOSKOWITZ NP
Nurse Practitioner (Psychiatric/Mental Health)
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (800) 913-2615
JENA RAE FOSTER LMFT, APCC
Marriage & Family Therapist
4850 UNION AVE
SAN JOSE, CA 95124
Santa Clara County (800) 913-2615

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 Jessica Bullock's NPI number?

The NPI number for Jessica Bullock is 1750823530. It was assigned to this individual provider in the NPPES registry on November 10, 2016. The provider is also known as Jessica Katherine - Milnes Bullock.

Where is Jessica Bullock located?

Jessica Bullock practices at 4850 Union Ave, San Jose, CA 95124. The listed phone number is (800) 913-2615.

What is Jessica Bullock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jessica Bullock was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.