Kerry Demetria Bullard, is a
Registered Nurse based in Oxford, Georgia. Kerry Demetria Bullard is licensed to practice in Georgia (license number RN721378) and her current practice location is
110 Ashford Dr, Oxford, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 816-5346.
NPI number for Kerry Demetria Bullard is 1083591846 and her current mailing address is 110 Ashford Dr, Oxford, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083591846.
Provider's Profile
| Full Name | Kerry Demetria Bullard |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 110 Ashford Dr, Oxford, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083591846
- Provider Enumeration Date: 08/21/2025
- Last Update Date: 08/21/2025
Medical Identifiers
Medical identifiers for Kerry Demetria Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083591846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN721378 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry Demetria Bullard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kerry Demetria Bullard,
110 Ashford Dr,
Oxford, GA 30054-4646
Ph: (706) 816-5346 | Kerry Demetria Bullard,
110 Ashford Dr,
Oxford, GA 30054-4646
Ph: (706) 816-5346 |
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