Individual
BAILEY SPROWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6525
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904330
MS
Other
Enumeration date
05/04/2021
Last updated
07/14/2022
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