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General NPI Number Information
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NPI Number | 1154614956
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Entity Type | Individual
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Provider Name | JENNIFER BELL D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1000 VALE TERRACE DR
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City | VISTA
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State | CA
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Zip | 92084-5218
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Country | US
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Telephone | 760-631-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8342 STARK DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2205
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Country | US
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Telephone | 317-526-7780
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02004406A
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License Number State | IN
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