Provider Demographics
NPI:1295363836
Name:BELL, SHANA SHEREE (APRN)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:SHEREE
Last Name:BELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12316 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-5257
Mailing Address - Country:US
Mailing Address - Phone:870-543-9010
Mailing Address - Fax:
Practice Address - Street 1:6020 WARDEN RD STE 100
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-6068
Practice Address - Country:US
Practice Address - Phone:501-552-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR123783363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care