Provider Demographics
NPI:1730359829
Name:TOMPKINS, BELLA R (RN)
Entity type:Individual
Prefix:MS
First Name:BELLA
Middle Name:R
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:580 W 8TH ST
Mailing Address - Street 2:TOWER 1, 8TH FLOOR
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6533
Mailing Address - Country:US
Mailing Address - Phone:904-244-9686
Mailing Address - Fax:904-244-9481
Practice Address - Street 1:580 W 8TH ST
Practice Address - Street 2:TOWER 1, 8TH FLOOR
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6533
Practice Address - Country:US
Practice Address - Phone:904-244-9686
Practice Address - Fax:904-244-9481
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9204319163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience