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NPI Code Detail

MEDICARE: JESSICA BLAIR BELL ANP

MEDICARE: JESSICA BLAIR BELL ANP
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
1363LA2200XAdult Health Nurse Practitioner5005323NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220162OTHERNCREGISTERED NURSE LICENSE
25005323OTHERNCNURSE PRACTITIONER LICENSE

General Provider Information

NPI Number : 1285916783
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BLAIR BELL ANP
Provider Business Mailing Address
First Line : 60 COMMERCE PLAZA CIR
Second Line :
City : PEMBROKE
State : NC
Zip : 28372-7386
Country : US
Telephone Number : 910-521-2900
Fax Number : 910-775-9165
Provider Business Practice Location Address
First Line : 302 MOUNT TABOR RD
Second Line :
City : RED SPRINGS
State : NC
Zip : 28377-6415
Country : US
Telephone Number : 910-227-2850
Fax Number : 910-227-2847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 10/24/2024

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Directions to “ JESSICA BLAIR BELL ANP” Practice Location

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