MEDICARE: BAILEY ABBOTT MSN, RN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	235261	TN

General Provider Information

NPI Number	:	1386577161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY ABBOTT MSN, RN, PMHNP-BC

Provider Business Mailing Address
First Line	:	7345 COURAGE WAY # 101
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1555
Country	:	US
Telephone Number	:	423-602-9797
Fax Number	:	423-602-9796

Provider Business Practice Location Address
First Line	:	7345 COURAGE WAY # 101
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1555
Country	:	US
Telephone Number	:	423-602-9797
Fax Number	:	423-602-9796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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