Individual
TERRY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1223 GATEWAY DR STE 2E, MELBOURNE, FL 32901-2607
(321) 312-3492
(321) 952-1893
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3492
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11037815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129163800
—
FL
01
—
WI332
HFMG
FL
Enumeration date
12/23/2024
Last updated
04/10/2026
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