Bailey, Brenda D

Bailey, Brenda D is an individual health care provider with primary practice located at 1068 Cresthaven Rd Ste 110 , Memphis TN 38119-0845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bailey, Brenda D can be contacted via phone (901) 405-6470.

Contact Information

Primary practice address
1068 Cresthaven Rd Ste 110 Memphis TN 38119-0845
Phone: (901) 405-6470
Fax: (901) 747-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 16744 Tennessee

Profile Details

NPI number 1619239126
LBN Legal business name Bailey, Brenda D
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Feb 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619239126 NPPES
Tennessee MEDICAID 1528815

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