Bailey, Lisa M

Bailey, Lisa M is an individual health care provider with primary practice located at 7148 U S Highway 98 Suite 101, Hattiesburg MS 39402-8577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bailey, Lisa M can be contacted via phone (601) 261-1500.

Contact Information

Primary practice address
7148 U S Highway 98 Suite 101 Hattiesburg MS 39402-8577
Phone: (601) 261-1500
Fax: (601) 296-7549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R669482 Mississippi

Profile Details

NPI number 1487609871
LBN Legal business name Bailey, Lisa M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 23rd, 2020 - about 4 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 1487609871 NPPES
Mississippi MEDICAID 00115017
Mississippi Other 2283275
Mississippi Other 4846774
Mississippi Other 7689898

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