BLOOM HEALTH SERVICES FOR WOMEN NPI 1124279245

NPI Information

BLOOM HEALTH SERVICES FOR WOMEN is a women's health nurse practitioner in Jackson, MS. BLOOM HEALTH SERVICES FOR WOMEN NPI is 1124279245. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 N STATE ST STE 430
JACKSON, MS
ZIP 39202-027
Phone: (601) 487-7141
Fax: (601) 487-4170

The provider's authorized official is Kimberly Lynne Schlagel .
The authorized official title is Owner and has the following contact phone number (601) 487-7141.

The CLIA number assigned to this NPI record is 25D1089015 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/10/2023.

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:

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