Provider Demographics
NPI:1760509376
Name:BELL, JORDAN ANNE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:ANNE
Last Name:BELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:BELL
Other - Last Name:SIMCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3255 N POINT PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4712
Mailing Address - Country:US
Mailing Address - Phone:678-335-6020
Mailing Address - Fax:
Practice Address - Street 1:3255 N POINT PKWY STE 202
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4712
Practice Address - Country:US
Practice Address - Phone:678-335-6020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177691NP363L00000X
GARN177691363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I500076Medicare UPIN