Individual
JENNIFER DIANE BELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5997
(701) 234-7194
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5997
(701) 234-7194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25740
ND
363LN0000X
Neonatal Nurse Practitioner
R25740
ND
Other
Enumeration date
07/24/2006
Last updated
12/27/2023
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