Bloom, Jennifer Ann

Bloom, Jennifer Ann is an individual health care provider with primary practice located at 255 E Paces Ferry Rd Ne , Atlanta GA 30305-2233. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bloom, Jennifer Ann can be contacted via phone (404) 671-4000.

Contact Information

Primary practice address
255 E Paces Ferry Rd Ne Atlanta GA 30305-2233
Phone: (404) 671-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 126364 Iowa

Profile Details

NPI number 1023353604
LBN Legal business name Bloom, Jennifer Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated Nov 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023353604 NPPES
Iowa MEDICAID 0159608
Iowa Other 07466

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