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NPI Code Detail

MEDICARE: BAILIE HARRIS NP

MEDICARE:   BAILIE  HARRIS  NP
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
1363LF0000XFamily Nurse Practitioner31924TN

General Provider Information

NPI Number : 1427760255
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILIE HARRIS NP
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number :
Provider Business Practice Location Address
First Line : 13181 OLD NASHVILLE HWY STE 150
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4034
Country : US
Telephone Number : 615-355-5105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2022
Last Update Date : 01/15/2026

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