Healthcare Provider Details

I. General information

NPI: 1255712345
Provider Name (Legal Business Name): TERESA LYNN BELL APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4223 LEXINGTON RD STE E
PARIS KY
40361-2514
US

IV. Provider business mailing address

PO BOX 734
CYNTHIANA KY
41031-0734
US

V. Phone/Fax

Practice location:
  • Phone: 859-569-2635
  • Fax: 859-569-3176
Mailing address:
  • Phone: 859-569-2635
  • Fax: 859-569-3176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3009432
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: