person
Shelly Bailey
Family Nurse Practitioner in Tyler, Texas
NPI 1174183693

Shelly Bailey is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Shelly Bailey practices in Tyler, TX. The NPI Number for Shelly Bailey is 1174183693 and holds a License No. AP140105 (Texas).

The current practice location address for Shelly Bailey is 1720 S Beckham Ave Ste 104, Tyler, TX and can be reached out via phone at 903-597-2002.

Location: 1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
person
Provider Profile Details
NPI Number
1174183693
Provider Name
Shelly Bailey
Credential
Provider Entity Type
Individual
Gender
Female
Address
1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
Phone Number
903-597-2002
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8LH987 01 TX BCBS
402031501 05 TX
842904 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
1720 S Beckham Ave Ste 104
City
State
Zip
75701-4437
Phone Number
903-597-2002
Fax Number
person
Provider Business Mailing Address Details
Address
1720 S Beckham Ave Ste 104
City
State
Zip
75701-4437
Phone Number
903-597-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP140105 (Texas)
Definition
Definition to come...
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