Provider Demographics
NPI:1659798254
Name:BELL, ABIGAIL (FNP)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 BEACON LIGHT RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37891-8946
Mailing Address - Country:US
Mailing Address - Phone:865-567-9503
Mailing Address - Fax:
Practice Address - Street 1:5475 TECH CENTER DR STE 105
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-2336
Practice Address - Country:US
Practice Address - Phone:719-223-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18534363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner