Healthcare Provider Details

I. General information

NPI: 1629933007
Provider Name (Legal Business Name): ALYSSA LYNN BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ATHENS WAY STE 240
NASHVILLE TN
37228-1311
US

IV. Provider business mailing address

25 PHOEBE DR
BARNEGAT NJ
08005-3537
US

V. Phone/Fax

Practice location:
  • Phone: 833-208-7770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR18305900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: