Provider Demographics
NPI:1336742907
Name:BELL, JENNIFER FRENCH (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FRENCH
Last Name:BELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 S FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MS
Mailing Address - Zip Code:39117-3407
Mailing Address - Country:US
Mailing Address - Phone:601-732-8821
Mailing Address - Fax:601-732-8842
Practice Address - Street 1:365 S FOURTH ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117-3407
Practice Address - Country:US
Practice Address - Phone:601-732-8821
Practice Address - Fax:601-732-8842
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010048183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist