Provider Demographics
NPI:1902785652
Name:JOWI, BELLAH SUSAN AKOTH (RN)
Entity type:Individual
Prefix:
First Name:BELLAH
Middle Name:SUSAN AKOTH
Last Name:JOWI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 PRESSWICK LN # 328
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3843
Mailing Address - Country:US
Mailing Address - Phone:573-505-1777
Mailing Address - Fax:
Practice Address - Street 1:328 PRESSWICK LN # 328
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3843
Practice Address - Country:US
Practice Address - Phone:573-505-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024030004163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse