Search › Georgia › 101YM0800X
Jennifer Bloom
NPI 1386182806 · on the registry since 2017
Practice
- Address
- 100 Bradley Park Ln Apt 134
Cumming, GA 30040 - Phone
- (561) 252-7815
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia