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NPI Code Detail

MEDICARE: VANESSA BAILEY

MEDICARE: VANESSA BAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101Y00000XCounselorA2302007AR

General Provider Information

NPI Number : 1013494509
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA BAILEY
Provider Business Mailing Address
First Line : PO BOX 2192
Second Line :
City : FORREST CITY
State : AR
Zip : 72336-2192
Country : US
Telephone Number : 870-630-2328
Fax Number : 870-630-2348
Provider Business Practice Location Address
First Line : 613 RIGHTOR ST
Second Line :
City : HELENA
State : AR
Zip : 72342-3223
Country : US
Telephone Number : 870-630-2328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2018
Last Update Date : 02/15/2023

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Directions to “ VANESSA BAILEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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