Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BULLARD
ActiveJACK BULLARD is a Registered Dietitian healthcare provider located in CHANDLER, Arizona. NPI 1568330983 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · CHANDLER, AZ
Registration Details
- NPI Number
- 1568330983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2025 (0.81474184046271 yrs)
- Last Updated
- Oct 27, 2025
- License
-
86375126 (AZ)
Practice Information
- Address
-
3100 W RAY RD STE 201CHANDLER, AZ, 852262472Browse AZ providers · Browse ZIP 85226
- Phone
- 6028928680
- Fax
- 4809367565
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in CHANDLER, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. ISABEL CANEZ | RD | 1811967052 |
| DR. KIMBERLY R LARSEN | MS DC RD | 1790743060 |
| CATHERINE BURTTSCHELL SCANLON | MS RD LD | 1235181009 |
| MRS. BRENDA MARIE GRIDLEY | R.D. | 1003931064 |
| MRS. JOANNA ELAINE TOWNSEND | RD, CDE | 1669692000 |
| BRINA ROCHELLE JERGENSON | R.D. | 1275753527 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.