ANNALYCE BASS NP-BC NPI 1447019690

NPI Information

  • NPI: 1447019690
  • Provider Name: ANNALYCE BASS, NP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 745 GLYNN ST S
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 719-5490

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NPI Details

Annalyce Bass, NP-BC is a family nurse practitioner in Fayetteville, GA. Annalyce Bass, NP-BC NPI is 1447019690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

745 GLYNN ST S
FAYETTEVILLE, GA
ZIP 30214-049
Phone: (770) 719-5490

The enumeration date for this NPI number is 3/18/2024 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner327997GEORGIANo
2363LF0000XNurse PractitionerFamily327997GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1568946544OTHERBCBS
2236MEDICAIDDISTRICT OF COLUMBIA
35874OTHERHEALTH PARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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