Bloomer, Jill C

Bloomer, Jill C is an individual health care provider with primary practice located at 101 W 2Nd St , Duluth MN 55802-2086. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bloomer, Jill C can be contacted via phone (907) 854-6005.

Contact Information

Primary practice address
101 W 2Nd St Duluth MN 55802-2086
Phone: (907) 854-6005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 308022 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8477 Minnesota

Profile Details

NPI number 1073135869
LBN Legal business name Bloomer, Jill C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated Sep 8th, 2021 - about 5 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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