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

Jessica Elaine Bullock, NP

Individual provider Family Nurse Practitioner · NPI 1609262278

Jessica Elaine Bullock, NP is a Nurse Practitioner in Kahului, Hawaii. Qualified in 2014, 12 years ago. Practices with Maui Care Physicians LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii and South Carolina.

Years since qualifying
12
Licensed in
HI, SC
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

33 Lono Ave Ste 250
Kahului, HI 96732-1634
Phone: (808) 500-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2240 (HI)
Nurse Practitioner Taxonomy 363L00000X · Licence 19423 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 2240 (HI)

Record details

NPI number1609262278
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Maui Care Physicians Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kahului