Healthcare Provider Details

I. General information

NPI: 1083123780
Provider Name (Legal Business Name): JENNIFER EMILY BELLIDO AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 N HIGHLAND AVE
MURFREESBORO TN
37130-2450
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 615-396-6472
  • Fax: 615-396-6625
Mailing address:
  • Phone: 615-284-4088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number217473
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00778100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26378
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: