Individual
SANDRA L BAILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
128 N WHITNEY AVE, COOKEVILLE, TN 38501-2493
(931) 783-4600
(931) 783-4699
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 783-6760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN6537
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
05
—
PENDING
—
TN
Enumeration date
09/02/2005
Last updated
05/26/2022
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