Bloom-Long, Jennifer R.

Bloom-Long, Jennifer R. is an sole proprietor health care provider with primary practice located at 324 Wilmington Ave , Dayton OH 45420-1890. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bloom-Long, Jennifer R. can be contacted via phone (937) 416-1537.

Contact Information

Primary practice address
324 Wilmington Ave Dayton OH 45420-1890
Phone: (937) 416-1537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN-241081 NP-08754 Ohio

Profile Details

NPI number 1881724284
LBN Legal business name Bloom-Long, Jennifer R.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Mar 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers