Individual
LARISA BROOKE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
153 ROAD 1046, TUPELO, MS 38801
(662) 401-5915
Mailing address
153 ROAD 1046, TUPELO, MS 38801
(662) 401-5915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904073
MS
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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