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Individual
JENNIFER M BLOM
Active
Individual
JENNIFER M BLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP016868
PA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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