Individual
CLAYTON ALLSTUN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1955 W TRUCKERS DR, FAYETTEVILLE, AR 72704-5637
(479) 973-6000
Mailing address
2711 E LINWOOD ST, SPRINGFIELD, MO 65804-1936
(417) 425-4327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012033480
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221606
AR
Other
Enumeration date
08/09/2022
Last updated
08/15/2022
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