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

Victoria Mary Kerry Bullock

Individual provider Acute Care Nurse Practitioner · NPI 1396303202

Victoria Mary Kerry Bullock is a Nurse Practitioner in Greenville, North Carolina. Qualified in 2018, 8 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
8
Licensed in
NC, NJ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 572-2391
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ15145600 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5011817 (NC)

Record details

NPI number1396303202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville