Provider Demographics
NPI:1407264989
Name:BELL, JASCHANDRIA (APRN, PMHNP-BC FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JASCHANDRIA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CLYDE FANT PARKWAY
Mailing Address - Street 2:SUITE 200, #1030
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-3783
Mailing Address - Country:US
Mailing Address - Phone:318-301-6699
Mailing Address - Fax:318-656-3172
Practice Address - Street 1:500 CLYDE FANT PARKWAY SUITE 200
Practice Address - Street 2:#1030
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3783
Practice Address - Country:US
Practice Address - Phone:318-301-6699
Practice Address - Fax:318-374-2506
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07969363LP2300X
LAAPO7969363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care