Healthcare Provider Details

I. General information

NPI: 1669732376
Provider Name (Legal Business Name): ASHLEY NICOLE BELL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY NICHOLE MURPHY D.O.

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 E CHEROKEE ST
SPRINGFIELD MO
65804-2203
US

IV. Provider business mailing address

1235 E CHEROKEE ST
SPRINGFIELD MO
65804-2203
US

V. Phone/Fax

Practice location:
  • Phone: 417-820-8600
  • Fax:
Mailing address:
  • Phone: 417-820-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT086033011
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberE-8970
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2016032276
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: