# IN BLOOM HEALTHCARE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891223392
- **Authorized official:** JAYMEE BOUGHTON (ADVANCED PRACTICE MIDWIFE)
- **Authorized official phone:** (281) 389-0810

## Contact information

- **Practice address:** 712 10TH ST, GALVESTON, TX 77550-5116
- **Practice address phone:** (409) 768-0005
- **Practice address fax:** (281) 892-1090
- **Mailing address:** 3704 TRENT COVE LN, PEARLAND, TX 77584-1479
- **Mailing address phone:** (281) 389-0810
- **Mailing address fax:** (281) 892-1090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 113162 | TX | — |
| 367A00000X | Advanced Practice Midwife | 119382 | TX | Yes |
| 367A00000X | Advanced Practice Midwife | 99119 | TX | — |

## Other

- **Enumeration date:** 05/27/2017
- **Last updated:** 03/17/2018