Healthcare Provider Details

I. General information

NPI: 1336061829
Provider Name (Legal Business Name): BAILEY DESIN MEDICATION MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DOCTORS PARK STE I2
ASHEVILLE NC
28801-4520
US

IV. Provider business mailing address

4 BOWEN LEGACY TRL
ASHEVILLE NC
28803-0341
US

V. Phone/Fax

Practice location:
  • Phone: 406-212-6528
  • Fax: 828-285-1242
Mailing address:
  • Phone: 406-212-6528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BAILEY DESIN
Title or Position: OWNER
Credential: FNP-C, PMHNP-BC
Phone: 406-212-6528