Healthcare Provider Details

I. General information

NPI: 1053356410
Provider Name (Legal Business Name): BLANCHE MAE BELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 OFFICE PARK DR
JACKSON MS
39206-6016
US

IV. Provider business mailing address

2480 NW 171ST TER
MIAMI GARDENS FL
33056-4539
US

V. Phone/Fax

Practice location:
  • Phone: 225-433-3172
  • Fax: 601-228-4471
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1935242
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024190963
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: