Willye Ann Bell, CNMW

Individual provider Active NPI Nurse Practitioner · Canton, MS

NPI 1861549933 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861549933
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
R137420 (MS)
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
Fax
(601) 859-8771
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R137420 MS Yes

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

PO Box 588
Canton, MS 39046-0588
Phone (601) 859-5213

Other identifiers

IdentifierTypeStateIssuer
00110262MedicaidMS

Other providers in Canton, MS

All providers in Canton, MS · Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.