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Organization
SAGEBRUSH PSYCHIATRY, PLLC
Active
Organization
SAGEBRUSH PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WRIGHT BAYLESS PMHNP-BC (FOUNDER)
(512) 436-5841
Entity
Organization
Contact information
Practice address
5470 KIETZKE LN STE 300, RENO, NV 89511-2099
(775) 410-0189
(775) 339-0105
Mailing address
11885 CLAIM STAKE DR, RENO, NV 89506-7540
(512) 436-5841
(775) 339-0105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187410
APRN LICENSE
AK
01
—
247220
APRN LICENSE
AZ
01
—
829036
APRN LICENSE
NV
Enumeration date
11/11/2021
Last updated
11/03/2023
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