Lookup NPI Numbers from the NPI Registry
NPI Profile for TANNISA D BAILEY in RIVERDALE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1649520800 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 09/14/2012 | |
| Last updated | 07/09/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TANNISA D BAILEY
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TANNISA D BAILEY, APRN