Individual
NANCY M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 322-9080
(901) 322-9097
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 322-9080
(901) 322-9097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5813
TN
363L00000X
Nurse Practitioner
81-0149
MS
363L00000X
Nurse Practitioner
A01917
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09829255
—
MS
05
—
157649758
—
AR
05
—
3929227
—
TN
01
—
4106008
BCBS TN
TN
01
—
83174
BCBS AR
AR
Enumeration date
07/07/2006
Last updated
10/24/2007
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