Provider Demographics
NPI:1184726911
Name:BELL, JENNIFER OSBORN (FNP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:OSBORN
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WILLIAM GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-4431
Mailing Address - Country:US
Mailing Address - Phone:207-236-6157
Mailing Address - Fax:
Practice Address - Street 1:24 S 1100 E STE 205
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1580
Practice Address - Country:US
Practice Address - Phone:801-359-7400
Practice Address - Fax:801-359-7404
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER030681363LF0000X
UT222915-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MENP1802Medicare ID - Type Unspecified
MES80812Medicare UPIN