Basic Information
Provider Information
NPI: 1003014440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: LINDA
MiddleName: CRIPPEN
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4594
Address2:  
City: BILOXI
State: MS
PostalCode: 395354594
CountryCode: US
TelephoneNumber: 2282734096
FaxNumber: 2285941765
Practice Location
Address1: 180 DEBUYS RD
Address2:  
City: BILOXI
State: MS
PostalCode: 395314402
CountryCode: US
TelephoneNumber: 2282734096
FaxNumber: 2285941765
Other Information
ProviderEnumerationDate: 07/06/2007
LastUpdateDate: 01/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XR593915MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
965308301MSAETNAOTHER
0065782705MS MEDICAID
1259026601MSCAQHOTHER
779637901MSCIGNAOTHER
P0182270601MSMEDICARE RROTHER
339721YUPL01MSMS MEDICAREOTHER


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