Individual
MRS. SHRILDA GRADNEY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
1308 GREEN OAK DR, N/A, BATON ROUGE, LA 70815-2026
(817) 291-9019
(225) 412-4952
Mailing address
1308 GREEN OAK DR, N/A, BATON ROUGE, LA 70815-2026
(817) 291-9019
(225) 412-4952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN087065
LA
363LF0000X
Family Nurse Practitioner
Primary
AP138674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN087065
REGISTERED NURSE LICENSE
LA
Enumeration date
03/16/2017
Last updated
10/04/2018
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