Provider Demographics
NPI:1487542866
Name:BLOODWORTH, KRISTEN GREEN (APRN, FNP- C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:GREEN
Last Name:BLOODWORTH
Suffix:
Gender:F
Credentials:APRN, FNP- C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1757 JAMES POINTE DR
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-3304
Mailing Address - Country:US
Mailing Address - Phone:863-944-3469
Mailing Address - Fax:
Practice Address - Street 1:1757 JAMES POINTE DR
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-3304
Practice Address - Country:US
Practice Address - Phone:863-944-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program