Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie L Bullock, PA

Individual provider Physician Assistant · NPI 1194956243

Jamie L Bullock, PA is a Physician Assistant in Washington, District of Columbia. Qualified in 2009, 17 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

900 23rd St NW
Washington, DC 20037-2342
Phone: (202) 715-4000
Fax: (202) 715-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4320 Seminary Rd, Alexandria, VA 22304-1535 — (703) 504-3066

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003049 (VA)

Record details

NPI number1194956243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 6, 2009
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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