Individual
MRS. TERRICKA LATREASE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN /APN
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9440
Mailing address
2363 LINDA SHORE DR, SOUTHAVEN, MS 38672-8382
(601) 955-1846
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
870475
MS
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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