Provider Demographics
NPI:1235194580
Name:BELL, LINDA RUTH (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:RUTH
Last Name:BELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 NORMANDY BLVD
Mailing Address - Street 2:BLDG 800
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-8059
Mailing Address - Country:US
Mailing Address - Phone:904-786-5141
Mailing Address - Fax:904-786-7646
Practice Address - Street 1:10250 NORMANDY BLVD
Practice Address - Street 2:BLDG 800
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-8059
Practice Address - Country:US
Practice Address - Phone:904-786-5141
Practice Address - Fax:904-786-7646
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1486152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAC718ZMedicare PIN
FLQ79020Medicare UPIN