Doctor Name: | BLANCHE MAE BELL |
NPI Number: | 1053356410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R891765 |
Business Practice Address: | 1495a Us Highway 61 S Woodville, MS - 396693577 |
Business Phone Number: | 6018883518 |
Business Fax Number: | 6018258130 |
Mailing Address: | Po Box 24116, JACKSON |
State: | MS |
Postal Code: | 392254116 |
Phone Number: | 6018883518 |
Fax Number: | 6018886569 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 03/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R891765 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |