Individual
MICHAELINE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PHYSICIANS LN, SOUTHAVEN, MS 38671-9569
(662) 655-2136
(662) 996-2214
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(188) 808-6058
(818) 579-7916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
903531
MS
363LF0000X
Family Nurse Practitioner
Primary
26581
TN
Other
Enumeration date
01/09/2020
Last updated
06/21/2022
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