MRS. CARA LORENA BLOODWORTH NNP NPI 1417122987

NPI Information

NPI: 1417122987
Provider Name: MRS. CARA LORENA BLOODWORTH, NNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5262
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MRS. Cara Lorena Bloodworth, NNP is a neonatal nurse practitioner in Jackson, MS. MRS. Cara Lorena Bloodworth, NNP NPI is 1417122987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5262

The enumeration date for this NPI number is 4/25/2008 and was last updated on 5/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WN0002X	Registered Nurse	Neonatal Intensive Care	R856212	MISSISSIPPI	No
2	363LN0000X	Nurse Practitioner	Neonatal	R856212	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00053778	MEDICAID	MISSISSIPPI
2	06576541	MEDICAID	MISSISSIPPI
3	405255YS8T	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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