Healthcare Provider Details

I. General information

NPI: 1447175419
Provider Name (Legal Business Name): MERRIE BAILEE BELLIPANNI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 RIVER OAKS DR STE A
CANTON MS
39046-5376
US

IV. Provider business mailing address

266 WOODRIDGE DR
YAZOO CITY MS
39194-2567
US

V. Phone/Fax

Practice location:
  • Phone: 601-855-5287
  • Fax:
Mailing address:
  • Phone: 662-836-7218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908699
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: