Provider Demographics
NPI:1750317400
Name:BELL, NKEBA I (CFNP)
Entity type:Individual
Prefix:
First Name:NKEBA
Middle Name:I
Last Name:BELL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:NKEBA
Other - Middle Name:
Other - Last Name:STRINGER-BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4510 HANGING MOSS RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-3962
Mailing Address - Country:US
Mailing Address - Phone:769-257-5713
Mailing Address - Fax:769-257-5715
Practice Address - Street 1:4510 HANGING MOSS RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-3962
Practice Address - Country:US
Practice Address - Phone:769-257-5713
Practice Address - Fax:769-257-5715
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR803867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117713Medicaid
MS00117713Medicaid