Provider Demographics
NPI:1477872513
Name:ISBELL, FELICIA DAWN (NP)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:DAWN
Last Name:ISBELL
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Gender:F
Credentials:NP
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Mailing Address - Street 1:2315 DOUGHERTY FERRY ROAD, SUITE 211
Mailing Address - Street 2:DES PERES MEDICAL ARTS PAVILLON II DEPT. INTERNAL MEDIC
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122
Mailing Address - Country:US
Mailing Address - Phone:314-977-9600
Mailing Address - Fax:314-977-7922
Practice Address - Street 1:2315 DOUGHERTY FERRY ROAD, SUITE 211
Practice Address - Street 2:DES PERES MEDICAL ARTS PAVILLON II DEPT. INTERNAL MEDIC
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122
Practice Address - Country:US
Practice Address - Phone:314-977-9600
Practice Address - Fax:314-977-7922
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2015-06-11
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Provider Licenses
StateLicense IDTaxonomies
MO2009037133363L00000X
IL209008476363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health