Individual
REBEKAH SHAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP- BC
Contact information
Practice address
134 E REBOUND RD, LANCASTER, SC 29720-7712
(803) 712-3987
Mailing address
2510 DUNLIN DR, INDIAN LAND, SC 29707-9127
(864) 918-7576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201272
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020004149
SC
Other
Enumeration date
12/07/2020
Last updated
04/18/2024
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