Individual
JIMMY D BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401
(573) 364-9000
(573) 426-3552
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
135755
MO
363LF0000X
Family Nurse Practitioner
135755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426217402
—
MO
Enumeration date
01/23/2007
Last updated
08/22/2019
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