Individual
MRS. SHANA LORAINE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
Mailing address
PO BOX 40406, NASHVILLE, TN 37204
(615) 463-6600
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
57696
TN
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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