| Bluebell Health & Wellness, Pllc | |
|
3484 Us Highway 13 S Goldsboro NC 27530-1025 | |
| (919) 689-2222 | |
| Not Available |
| Full Name | Bluebell Health & Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3484 Us Highway 13 S, Goldsboro, North Carolina |
| Authorized Official Name and Position | Jennifer Mazurek (DNP, FNP-BC) |
| Authorized Official Contact | 2529039974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebell Health & Wellness, Pllc 3484 Us Highway 13 S Goldsboro NC 27530-1025 Ph: (919) 689-2222 | Bluebell Health & Wellness, Pllc 3484 Us Highway 13 S Goldsboro NC 27530-1025 Ph: (919) 689-2222 |
| NPI Number | 1740940790 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 6406241017 |
|---|---|
| Medicare Enrollment ID | O20220317002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740940790 | NPI | - | NPPES |
| 5011760 | Other | NC | NURSE PRACTITIONER LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Tasha Westbrook Bollin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982112066 PECOS PAC ID: 4183986078 Enrollment ID: I20180312001878 |
| Provider Name | Jennifer Michelle Mazurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679130074 PECOS PAC ID: 8729314091 Enrollment ID: I20190724001196 |
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