Bailiff, Sandra L

Bailiff, Sandra L is an individual health care provider with primary practice located at 128 N Whitney Ave , Cookeville TN 38501-2493. 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. Bailiff, Sandra L can be contacted via phone (931) 783-4600.

Contact Information

Primary practice address
128 N Whitney Ave Cookeville TN 38501-2493
Phone: (931) 783-4600
Fax: (931) 783-4699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6537 Tennessee

Profile Details

NPI number 1760476881
LBN Legal business name Bailiff, Sandra L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated May 26th, 2022 - about 3 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 1760476881 NPPES
Kentucky MEDICAID PENDING
Kentucky MEDICAID PENDING

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