Individual
MS. CHRISTY BAYLESS DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0666
(270) 956-0686
Mailing address
305 DOVER RD, CLARKSVILLE, TN 37042-4157
(931) 552-6722
(931) 552-6979
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135337
TN
363LF0000X
Family Nurse Practitioner
1-111220
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
15138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121142
—
AL
Enumeration date
02/06/2008
Last updated
02/08/2019
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