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Individual

BAILEY LEA GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
5699 GETWELL RD STE 5, SOUTHAVEN, MS 38672-7312
(662) 649-6502
Mailing address
2765 RUTHERFORD DR, SOUTHAVEN, MS 38672-7204

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904693
MS

Other

Enumeration date
06/12/2021
Last updated
01/11/2022
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