Provider Demographics
NPI:1659474930
Name:BELL, CHERYL J (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:J
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:1602A N MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN GROVE
Practice Address - State:MO
Practice Address - Zip Code:65711-1010
Practice Address - Country:US
Practice Address - Phone:417-269-2350
Practice Address - Fax:417-269-2356
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2022-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO143949363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO837613668Medicare Oscar/Certification