Provider Demographics
NPI:1396341053
Name:BHULLAR, JASKARANJEET (DNP)
Entity type:Individual
Prefix:DR
First Name:JASKARANJEET
Middle Name:
Last Name:BHULLAR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 GATEWAY OAKS DR STE 100S
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-4306
Mailing Address - Country:US
Mailing Address - Phone:916-925-7010
Mailing Address - Fax:
Practice Address - Street 1:2710 GATEWAY OAKS DR STE 100S
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-4306
Practice Address - Country:US
Practice Address - Phone:916-925-7010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV831835363LG0600X
CA95016726363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology