Provider Demographics
NPI:1992941249
Name:BELL, AMANDA ROBIN (RN, CNM, APN)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ROBIN
Last Name:BELL
Suffix:
Gender:F
Credentials:RN, CNM, APN
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Mailing Address - Street 1:317 N HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2428
Mailing Address - Country:US
Mailing Address - Phone:931-528-7527
Mailing Address - Fax:931-372-8899
Practice Address - Street 1:159 OMNI DR STE 1
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-0303
Practice Address - Country:US
Practice Address - Phone:931-815-8800
Practice Address - Fax:931-815-8808
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013782363LW0102X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512399Medicaid