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Contact Information

CARISSA BAILEY
3801 S NATIONAL AVE
SPRINGFIELD, MO65807-5210
 Phone: 417-269-4450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARISSA BAILEY · (Female)

NPI # 1801466784
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2021
Last updated 07/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 202024178
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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