Provider Demographics
NPI:1417666249
Name:BELL, JONNA KATHARINE (APN)
Entity Type:Individual
Prefix:
First Name:JONNA
Middle Name:KATHARINE
Last Name:BELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JONNA
Other - Middle Name:
Other - Last Name:ROTHBART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:45 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-1908
Mailing Address - Country:US
Mailing Address - Phone:917-499-6176
Mailing Address - Fax:
Practice Address - Street 1:15 ESSEX RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1451
Practice Address - Country:US
Practice Address - Phone:201-291-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14997100163W00000X
NJ26NJ01464600363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse