Debra E Bell, CRNP
Nurse Practitioner, Psych/Mental Health in Jackson, MS. Individual provider (NPI-1).
NPI number1083653257
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1083653257
- Entity type
- Individual (NPI-1)
- Name
- Debra E Bell
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2006
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R778758 | MS | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | R778758 | MS |
Other names
- Debra E Black (Former Name)
Practice location
248 E Capitol St840 Trust Mark Bldg
Jackson, MS 39201-2503
Phone 800-632-6074 · Fax 866-341-7509
Mailing address
305 Robinson RdCanton, MS 39046-9754
Phone 601-624-8985
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