Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M4709 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | 2016-00754 | NC |
N | 2080P0205X | Pediatric Endocrinologist | M4709 | TX |
N | 2080P0205X | Pediatric Endocrinologist | ME104568 | FL |
NPI | 1285808113 |
---|---|
Provider Name | Jennifer J. Bell |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-3736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 09/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285808113 | (05) | NC |
19KMW | BCBS OF NC (01) | NC |