Individual
BAILEE CERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1203 B AVE, ELLISVILLE, MS 39437-2080
(601) 477-8553
Mailing address
410 BUFFALO HILL RD, ELLISVILLE, MS 39437-8702
(601) 319-1858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905836
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2022
Last updated
02/24/2023
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