Individual
BRENDA D BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1068 CRESTHAVEN RD STE 110, MEMPHIS, TN 38119-0845
(901) 405-6470
(901) 747-2338
Mailing address
1068 CRESTHAVEN RD STE 110, MEMPHIS, TN 38119-0845
(901) 405-6470
(901) 747-2338
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16744
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528815
—
TN
Enumeration date
06/11/2012
Last updated
02/28/2018
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