NPI 1760027007 · live from the CMS NPI Registry
Jennifer Bloom, APRN, CPNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1760027007, active.
NPI record
| NPI | 1760027007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 612-813-6000 |
| Mailing address | 160 Hill Cir W, Big Lake, MN 55309 |
| Enumerated | November 11, 2019 |
| Last updated | November 11, 2019 |
| Sole proprietor | No |
| Other names | Jennifer Bloom |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 6506 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.