Jennifer Taka Bulus, APRN PMHNP BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1063676 Issued in TX

Practice address

1904 Longmire Rd Ste 401
Conroe, TX 77304-5024

Phone

(281) 724-7980

NPI assigned

Jun 13, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Magnolia Management LLCGroup PAC ID 7810391984, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Magnolia Management LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
  • NPI 1346866845
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1952297293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COMMERCE ST APT 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081344",
            "telephone_number": "903-941-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 LONGMIRE RD STE 401",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045024",
            "telephone_number": "281-724-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULUS",
        "first_name": "JENNIFER",
        "middle_name": "TAKA",
        "credential": "APRN PMHNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1063676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Buckner-Manley, MA, LPC
• Olajide Abdulqadri Buhari, MD
• Robin M Bull, PA-C
• Bullock OB/GYN PA
• Kaylee Bullock
• Gabrielle Bunch, LPC
• Theresa M Burbank, MA LPC
• Laquasha Burke, LCSW
• Rosalia C Burke, MD
• Anirudh Burli

• Psychiatric/Mental Health Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.