Eleanor Bullock
Individual provider Active NPI Nurse Practitioner · Covington, KY
NPI 1902777477 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1902777477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.0040298 (OH)
- Practice address
- 322 Greenup St
Covington, KY 41011-1755 - Phone
- (859) 365-3300
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0040298 | OH | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | APRN.CNP.0040298 | OH | Yes |
Addresses
Primary practice location
322 Greenup St
Covington, KY 41011-1755
Mailing address
202 Athey St
Covington, KY 41011-2323
Phone (614) 557-1373
Other providers in Covington, KY
- Diana Brown
- Jazlyn Morgan Brown
- Emily Brunson
- BSD Inc.
- Amanda Budde
- Elizabeth Bullock
- Eugene James Burchell Jr.
- Diana Lynn Burchett
- Joseph Burdsall
- Christina Burke
All providers in Covington, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.