Inbloom, LLC
NPI #1972345205 in Germantown, Tennessee
Provider Information
- NPI Number
- 1972345205
- Entity Type
- Organization
- Organization Name
- Inbloom, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 7, 2024
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 2095 EXETER RD STE 80318
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-3963
- Phone
- (901) 245-0199
Authorized Official
- Name
- DEONA DEICKE
- Title
- CREDENTIALING MANAGER
- Phone
- (203) 641-9529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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