Healthcare Provider Details

I. General information

NPI: 1063339752
Provider Name (Legal Business Name): JENNIFER MARIE BELL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W UNIVERSITY AVE
MUNCIE IN
47306-0002
US

IV. Provider business mailing address

2000 W UNIVERSITY AVE
MUNCIE IN
47306-0002
US

V. Phone/Fax

Practice location:
  • Phone: 765-285-5598
  • Fax:
Mailing address:
  • Phone: 765-285-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number28168487A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: