Provider Demographics
NPI:1477152080
Name:BELL, JAZMINE (NP)
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1231 JOSEPH E BOONE BLVD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-2395
Mailing Address - Country:US
Mailing Address - Phone:404-817-9994
Mailing Address - Fax:404-963-1193
Practice Address - Street 1:1231 JOSEPH E BOONE BLVD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-2395
Practice Address - Country:US
Practice Address - Phone:404-817-9994
Practice Address - Fax:404-963-1193
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP001342363LF0000X
FL11009864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily