Individual
TAMMY NICOLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-PMHNP-BC
Contact information
Practice address
101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 41701-9524
(606) 439-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 439-1300
(606) 439-1400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011597
LICENSE
KY
Enumeration date
08/29/2017
Last updated
08/29/2017
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