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NPI Code Detail

MEDICARE: YULANDER GAILEY APRN

MEDICARE: YULANDER GAILEY APRN
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
2363L00000XNurse Practitioner213193AR

General Provider Information

NPI Number : 1265735922
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULANDER GAILEY APRN
Provider Business Mailing Address
First Line : 4702 W COMMERCIAL DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7068
Country : US
Telephone Number : 501-812-5545
Fax Number : 501-812-5546
Provider Business Practice Location Address
First Line : 105 FRANKIE LN
Second Line :
City : WHITE HALL
State : AR
Zip : 71602-2685
Country : US
Telephone Number : 870-247-6160
Fax Number : 855-448-1888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2010
Last Update Date : 03/31/2022

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