Healthcare Provider Details

I. General information

NPI: 1538760897
Provider Name (Legal Business Name): SHELBY LYNNE BELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELBY LYNNE ALDERMAN JOHNSTON

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HIGHWAY 16 E
CARTHAGE MS
39051-4222
US

IV. Provider business mailing address

965 RIDGE LAKE BLVD STE 315
MEMPHIS TN
38120-9401
US

V. Phone/Fax

Practice location:
  • Phone: 601-267-1470
  • Fax: 601-267-1469
Mailing address:
  • Phone: 901-227-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number904246
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: