Individual
KENNDRICA C BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-4050
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213816
STATE LICENSE
LA
05
—
2573241
—
LA
Enumeration date
03/11/2021
Last updated
06/08/2024
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