Individual
BAILEY GRACE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 790-7662
(423) 790-7664
Mailing address
463 1ST ST NW, CLEVELAND, TN 37311-1760
(423) 790-7662
(423) 790-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN30911
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN30911
TN
363LP2300X
Primary Care Nurse Practitioner
APN0000030911
TN
Other
Enumeration date
03/08/2022
Last updated
08/25/2023
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