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Johnnie Bloom, LPN
Licensed Practical Nurse in Somerville, Massachusetts
NPI 1659456952

Johnnie Bloom is a Licensed Practical Nurse based in Somerville, MA. Johnnie Bloom practices in Somerville, MA and has the professional credentials of LPN. The NPI Number for Johnnie Bloom is 1659456952 and holds a License No. 53794 (Massachusetts).

The current practice location address for Johnnie Bloom is 260 Beacon St, Somerville, MA and can be reached out via phone at 617-661-5700. You can also correspond with Johnnie Bloom through the mailing address at 260 BEACON ST, SOMERVILLE, MA - 02143-3534 (mailing address contact number: 617-661-5700).

Location: 260 Beacon St, Somerville, MA, 02143-3534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659456952
Provider Name
Johnnie Bloom
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
260 Beacon St, Somerville, MA, 02143-3534
Phone Number
617-661-5700
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
260 Beacon St
City
Somerville
State
Massachusetts
Zip
02143-3534
Phone Number
617-661-5700
Fax Number
person
Provider Business Mailing Address Details
Address
260 Beacon St
City
Somerville
State
Massachusetts
Zip
02143-3534
Phone Number
617-661-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
53794 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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