LAURA T BAILEY APRN PLLC NPI 1720691678

NPI Information

NPI: 1720691678
Provider Name: LAURA T BAILEY APRN PLLC

Doing Business As: RESOLUTE HEALTHCARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2907 E JOYCE BLVD STE 5
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 212-8492
Get Directions

LAURA T BAILEY APRN PLLC is a family nurse practitioner in Fayetteville, AR. LAURA T BAILEY APRN PLLC NPI is 1720691678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Resolute Healthcare.

The provider's business location address is:

2907 E JOYCE BLVD STE 5
FAYETTEVILLE, AR
ZIP 72703-390
Phone: (479) 212-8492
Fax: (479) 265-3890

The provider's authorized official is Laura T Bailey .
The authorized official title is Nurse Practitioner and has the following contact phone number (479) 751-0190.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 9/6/2023.

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
1	207Q00000X	Family Medicine				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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
1	1891115663	OTHER	ARKANSAS	NPI
2	195361001	MEDICAID	ARKANSAS
3	203336758	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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