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Individual

TIFFANIE JOY BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4384
(215) 316-5151
Mailing address
3011 EVERGREEN WALK, PHILADELPHIA, PA 19125-4384
(856) 979-1616

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19493800
NJ
163W00000X
Registered Nurse
RN696852
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030479
PA

Other

Enumeration date
03/15/2024
Last updated
06/16/2025
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