Organization
BLOOM HEALTH SERVICES FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LYNNE SCHLAGEL NP (OWNER)
(601) 487-7141
Entity
Organization
Contact information
Practice address
1200 N STATE ST STE 430, JACKSON, MS 39202-2027
(601) 487-7141
(601) 487-4170
Mailing address
1200 N STATE ST STE 430, JACKSON, MS 39202-2027
(601) 487-7141
(601) 487-4170
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R857552
MS
Other
Enumeration date
10/07/2008
Last updated
10/10/2023
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