Provider Demographics
NPI:1861488678
Name:BELL, JANE ANNE (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ANNE
Other - Last Name:DAFFRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:400 W CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64477-1424
Mailing Address - Country:US
Mailing Address - Phone:816-539-2117
Mailing Address - Fax:816-539-3301
Practice Address - Street 1:400 W CLAY AVE
Practice Address - Street 2:
Practice Address - City:PLATTSBURG
Practice Address - State:MO
Practice Address - Zip Code:64477-1424
Practice Address - Country:US
Practice Address - Phone:181-641-5346
Practice Address - Fax:816-539-3301
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112738MD207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203806617Medicaid
MO203806617Medicaid
MO1658713AMedicare Oscar/Certification