NPI 1841134533 · live from the CMS NPI Registry
Bloom Well Health Clinic LLC
Nurse Practitioner in Blackshear, GA. National Provider Identifier 1841134533, active.
NPI record
| NPI | 1841134533 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2667 Batten Hill Rd, Blackshear, GA 31516 |
| Practice phone | 912-282-2025 |
| Enumerated | April 15, 2026 |
| Last updated | April 15, 2026 |
| Authorized official | Lisa Batten, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator | 163WD0400X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.