Provider Demographics
NPI:1225691983
Name:BELL, JANICE COOPER (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:COOPER
Last Name:BELL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 BENDED KNEE DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:NC
Mailing Address - Zip Code:28789-7114
Mailing Address - Country:US
Mailing Address - Phone:828-736-4790
Mailing Address - Fax:
Practice Address - Street 1:3302 CONLEY RD
Practice Address - Street 2:
Practice Address - City:LUCASVILLE
Practice Address - State:OH
Practice Address - Zip Code:45648-8124
Practice Address - Country:US
Practice Address - Phone:828-736-4790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH458292163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse