Emily Jane Bloom
Nurse Practitioner - Women's Health
3419 Colonnade Pkwy Ste 600
Birmingham
, Alabama 35243-3337
Emily Jane Bloom
Nurse Practitioner - Women's Health
3419 Colonnade Pkwy Ste 600
Birmingham
, Alabama 35243-3337
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Emily Jane Bloom
- 4916 Pittman Ave
- Irondale, AL
- Zip : 35210-2514
- Phone :
Second Address
- Emily Jane Bloom
- 3419 Colonnade Pkwy Ste 600
- Birmingham, AL
- Zip : 35243-3337
- Fax : (205) 598-6700
- Phone : (205) 598-6800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 1-158499 | AL |
National Provider Identifier
| NPI | 1003470279 |
|---|---|
| Provider Name | Emily Jane Bloom |
| First Address | Irondale, AL 35210-2514 |
| Second Address | Birmingham, AL 35243-3337 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2019 |
| Last Update Date | 02/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.