Individual
JERRELL D BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1828 E SE LOOP 323 STE 101, TYLER, TX 75701-8314
(903) 581-8881
Mailing address
PO BOX 7145, LONGVIEW, TX 75607-7145
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336458
TX
Other
Enumeration date
06/21/2019
Last updated
07/14/2019
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