MEDICARE: DR. CHARITY BAILEY DNP, ARNP, PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11044132	FL

General Provider Information

NPI Number	:	1578427555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARITY BAILEY DNP, ARNP, PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 1522
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-1522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1522
Second Line	:
City	:	SANTA ROSA BEACH
State	:	FL
Zip	:	32459-1522
Country	:	US
Telephone Number	:	850-308-0986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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