Provider Demographics
NPI:1396773016
Name:BELL-CALVIN, JEAN CAROL (APRN, BC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:CAROL
Last Name:BELL-CALVIN
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 W MELVINA ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2033
Mailing Address - Country:US
Mailing Address - Phone:414-462-7621
Mailing Address - Fax:
Practice Address - Street 1:5460 N 64TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3020
Practice Address - Country:US
Practice Address - Phone:414-535-0432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI75866-030163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health