MEDICARE: DANIELLE BELL CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	25755	TN

General Provider Information

NPI Number	:	1295394278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE BELL CPNP

Provider Business Mailing Address
First Line	:	3146 WOOD THRUSH DR
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3177
Country	:	US
Telephone Number	:	901-340-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 E SHELBY DR STE 317
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7257
Country	:	US
Telephone Number	:	901-396-8281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	06/12/2019

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