Organization · Type 2 NPI
Bloom Behavioral Health & Wellness, PLLC
Psychiatric/Mental Health Nurse Practitioner · West Memphis, AR
NPI number
1083314629
Active
Practice location
200 S Rhodes St Ste E
West Memphis, AR 72301-4213
Fax (662) 265-9483
Mailing address
2416 Fallingwater Ln Apt 102
Cordova, TN 38016-7686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1083314629
Bloom Behavioral Health & Wellness, PLLC's National Provider Identifier is 1083314629, issued on Mar 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Memphis, AR. The record was last updated on Mar 2, 2023.