Provider Demographics
NPI:1255712345
Name:BELL, TERESA LYNN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:LYNN
Last Name:BELL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-0734
Mailing Address - Country:US
Mailing Address - Phone:859-569-2635
Mailing Address - Fax:859-569-3176
Practice Address - Street 1:4223 LEXINGTON RD STE E
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2514
Practice Address - Country:US
Practice Address - Phone:859-569-2635
Practice Address - Fax:859-569-3176
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100364930Medicaid
KY3009432OtherMEDICAL LICENSE
KY7100364930Medicaid