Individual
JORDAN BLOOM
Active
Individual
JORDAN BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, APRN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30535
TN
Other
Enumeration date
12/01/2020
Last updated
09/30/2021
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