Healthcare Provider Details
I. General information
NPI: 1639711237
Provider Name (Legal Business Name): BRITTANY LYNN BAILEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/15/2019
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-6966
US
IV. Provider business mailing address
15088 SW 94TH CIR
LAKE BUTLER FL
32054-7133
US
V. Phone/Fax
- Phone: 352-392-4541
- Fax:
- Phone: 386-623-0215
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | APRN11004336 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | APRN11004336 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: