Individual
KIZZIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3241 FITZPATRICK AVE SW, PALM BAY, FL 32908-4913
(260) 508-6352
Mailing address
3241 FITZPATRICK AVE SW, PALM BAY, FL 32908-4913
(260) 508-6352
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2024005724
FL
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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