Provider Demographics
NPI:1881832715
Name:BELL-PITTS, JANE KATHARINE (FNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:KATHARINE
Last Name:BELL-PITTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:KATHARINE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:901 GAUSE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2949
Mailing Address - Country:US
Mailing Address - Phone:985-280-8970
Mailing Address - Fax:985-280-2618
Practice Address - Street 1:901 GAUSE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2949
Practice Address - Country:US
Practice Address - Phone:985-280-8970
Practice Address - Fax:985-280-2618
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05585363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2112171Medicaid
LA1945421Medicare PIN