Individual
SHERESE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 393-1912
(270) 393-1913
Mailing address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009702
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100385740
—
KY
Enumeration date
10/19/2015
Last updated
01/18/2017
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