Healthcare Provider Details

I. General information

NPI: 1427781988
Provider Name (Legal Business Name): HAILEY D BESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HAILEY D PEAT

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13067 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0926
US

IV. Provider business mailing address

30548 PALMERSTON PL
WESLEY CHAPEL FL
33545-7014
US

V. Phone/Fax

Practice location:
  • Phone: 813-773-6658
  • Fax: 786-868-0012
Mailing address:
  • Phone: 813-323-3170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11020366
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: