MEDICARE: JIMMY AKANBI BELLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R137969	MD
2	363LF0000X	Family Nurse Practitioner	R137969	MD

General Provider Information

NPI Number	:	1982112843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMY AKANBI BELLO

Provider Business Mailing Address
First Line	:	12101 GORDON AVE
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-1173
Country	:	US
Telephone Number	:	301-792-0613
Fax Number	:

Provider Business Practice Location Address
First Line	:	7836 OAKWOOD RD STE A
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-4298
Country	:	US
Telephone Number	:	410-768-6011
Fax Number	:	410-768-0101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	12/04/2025

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Directions to “ JIMMY AKANBI BELLO ” Practice Location

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