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Individual

CARISSA BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4450
Mailing address
1044 E HIGHPOINT ST, SPRINGFIELD, MO 65810-2939
(417) 207-9546

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202024178
MO

Other

Enumeration date
07/01/2021
Last updated
07/01/2021
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