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

Jennifer Renae Bullard, NP-C

Individual provider Family Nurse Practitioner · NPI 1659912731

Jennifer Renae Bullard, NP-C is a Nurse Practitioner in Laurel Hill, North Carolina. Qualified in 2021, 5 years ago. Practices with Carolina Kidney Care PA, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and North Carolina.

Years since qualifying
5
Licensed in
ID, NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

18901 Ida Mill Rd
Laurel Hill, NC 28351-8326
Phone: (910) 462-2707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5014203 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 57779 (ID)

Record details

NPI number1659912731
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESJanuary 22, 2022
Certification dateJanuary 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Carolina Kidney Care Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services