Provider Demographics
NPI:1720416894
Name:BELL, LISA D (APRN)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:D
Last Name:BELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3103 BRECKENRIDGE LN STE 1
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-2798
Mailing Address - Country:US
Mailing Address - Phone:502-495-5055
Mailing Address - Fax:502-495-5057
Practice Address - Street 1:14 EVANS RD
Practice Address - Street 2:CAMP ATTERBURY BUILDING
Practice Address - City:EDINBURGH
Practice Address - State:IN
Practice Address - Zip Code:46124-5000
Practice Address - Country:US
Practice Address - Phone:812-526-1218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-28
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28172826A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner