Healthcare Provider Details

I. General information

NPI: 1467978957
Provider Name (Legal Business Name): BELLA DONNA BIRTH & WOMEN'S HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 NEW BRIDGE ST
JACKSONVILLE NC
28540-4756
US

IV. Provider business mailing address

310 NEW BRIDGE ST
JACKSONVILLE NC
28540-4756
US

V. Phone/Fax

Practice location:
  • Phone: 910-621-4266
  • Fax: 910-613-0382
Mailing address:
  • Phone: 910-621-4266
  • Fax: 910-613-0382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number372
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE RHUDE
Title or Position: OWNER
Credential: CNM
Phone: 252-229-0228