=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760506604
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALICIA RENE BELL RN MNSC APRN BC FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2007
-----------------------------------------------------
Last Update Date | 06/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9101 KANIS RD
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72205-6456
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-224-6366
-----------------------------------------------------
Fax | 501-725-8445
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11001 EXECUTIVE CENTER DR STE 200
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72211-4393
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-224-6366
-----------------------------------------------------
Fax | 501-725-8445
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | A02980ANP
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------