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Individual

MRS. AMANDA KAY BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1530 N CHURCH ST, JONESBORO, AR 72401-1515
(870) 802-3586
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03130 ANP
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185239758
AR
Enumeration date
07/14/2008
Last updated
10/06/2017
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