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NPI Profile for TERRICKA L BAILEY in OLIVE BRANCH, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1316307366 |
|
| Status | Active | |
| Credentials | RN /APN | |
| Entity | Individual | |
| Enumeration date | 03/03/2016 | |
| Last updated | 03/03/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TERRICKA L BAILEY
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9066 HIGHLAND ST OLIVE BRANCH, MS |
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TERRICKA L BAILEY, RN /APN