Organization · Type 2 NPI

Bloom Well Health Clinic LLC

Nurse Practitioner · Waycross, GA

NPI number 1841134533 Active

Practice location

2005 Pioneer St Ste D
Waycross, GA 31501-6205

Mailing address

2667 Batten Hill Rd
Blackshear, GA 31516-4938

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1841134533

Bloom Well Health Clinic LLC's National Provider Identifier is 1841134533, issued on Apr 15, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waycross, GA. The record was last updated on Oct 28, 2026.