Healthcare Provider Details

I. General information

NPI: 1841105293
Provider Name (Legal Business Name): PATTI BELL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 FOUNTAINS BLVD STE 201
MADISON MS
39110-6361
US

IV. Provider business mailing address

108 WRIGHTS MILL DR
MADISON MS
39110-8436
US

V. Phone/Fax

Practice location:
  • Phone: 769-300-0730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number908692
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: