Individual
JENNIFER R BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8881 N MAIN ST, DAYTON, OH 45415-1333
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN-241081 NP-08754
OH
Other
Enumeration date
03/06/2007
Last updated
11/11/2024
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