Individual provider · Type 1 NPI

Staci Bloom

Family Nurse Practitioner · Robins Afb, GA

NPI number 1609455856 Active

Practice location

655 7th St Bldg 700700-A
Robins Afb, GA 31098-2227

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11016359 (FL)
Occupational Health Nurse Practitioner 363LX0106XAPRN11016359 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1609455856

Staci Bloom's National Provider Identifier is 1609455856, issued on Apr 5, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Robins Afb, GA. The record was last updated on Jul 23, 2026.