Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R593915 | MS |
NPI | 1003014440 |
---|---|
Provider Name | Linda Crippen Bell |
First Address | Biloxi, MS 39535-4594 |
Second Address | Biloxi, MS 39531-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 04/12/2020 |