Healthcare Provider Details

I. General information

NPI: 1386577161
Provider Name (Legal Business Name): BAILEY ABBOTT MSN, RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 COURAGE WAY # 101
CHATTANOOGA TN
37421-1555
US

IV. Provider business mailing address

7345 COURAGE WAY # 101
CHATTANOOGA TN
37421-1555
US

V. Phone/Fax

Practice location:
  • Phone: 423-602-9797
  • Fax: 423-602-9796
Mailing address:
  • Phone: 423-602-9797
  • Fax: 423-602-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number42358
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: