Jaime R Belcourt, RN

Individual provider Active NPI General Practice Registered Nurse · Bismarck, ND

NPI 1528398658 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1528398658
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
R55077 (ND)
Practice address
716 W Avenue B
Bismarck, ND 58501-3452
Phone
(406) 788-3215
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
174441COMDRegistered Nurse
30020MTMDRegistered Nurse
R55077NDMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 174441 CO
Registered Nurse 163W00000X 30020 MT
General Practice Registered Nurse 163WG0000X R55077 ND Yes

Addresses

Primary practice location

716 W Avenue B
Bismarck, ND 58501-3452

Mailing address

716 W Avenue B
Bismarck, ND 58501-3452
Phone (406) 788-3215

Other providers in Bismarck, ND

All providers in Bismarck, ND · General Practice Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.