Provider Demographics
NPI:1962860023
Name:BELL, JENNIFER ABNEY
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ABNEY
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:BREANN
Other - Last Name:ABNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 275
Mailing Address - Street 2:15465 MAIN ST.
Mailing Address - City:HAMSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77622
Mailing Address - Country:US
Mailing Address - Phone:409-781-1143
Mailing Address - Fax:
Practice Address - Street 1:3030 NORTH ST.
Practice Address - Street 2:SUITE 510
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-896-5000
Practice Address - Fax:409-896-5926
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily