# MR. JASON COREY BLOOMER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265205108
- **Gender:** Man
- **Credential:** MSN, RN, CCRN, FANAI

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN-80349 | NM | Yes |
| 163WP2201X | Ambulatory Care Registered Nurse | RN-80349 | NM | — |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023