Individual
JERICHO LOREE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
286 CALHOUN STATION PKWY, MADISON, MS 39110-5537
(601) 200-4321
(601) 859-0159
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4321
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21064
MS
208000000X
Pediatrics Physician
21064
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02284095
—
MS
05
—
119853
—
AL
Enumeration date
07/02/2007
Last updated
11/03/2023
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