Individual
MRS. JENNIFER MARIE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 RIVERSIDE BLVD, NORFOLK, NE 68701-7420
(402) 644-2429
(402) 644-2538
Mailing address
1106 WESTBROOK DR, NORFOLK, NE 68701-2080
(402) 215-1232
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
53710
NE
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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