MEDICARE: MRS. SHRILDA GRADNEY BAILEY FAMILY NURSE PRACTIT

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	163W00000X	Registered Nurse	RN087065	LA
2	363LF0000X	Family Nurse Practitioner	AP138674	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN087065	OTHER	LA	REGISTERED NURSE LICENSE

General Provider Information

NPI Number	:	1821539370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHRILDA GRADNEY BAILEY FAMILY NURSE PRACTIT

Provider Business Mailing Address
First Line	:	1308 GREEN OAK DR
Second Line	:	N/A
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2026
Country	:	US
Telephone Number	:	817-291-9019
Fax Number	:	225-412-4952

Provider Business Practice Location Address
First Line	:	1308 GREEN OAK DR
Second Line	:	N/A
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-2026
Country	:	US
Telephone Number	:	817-291-9019
Fax Number	:	225-412-4952

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

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	10/04/2018

Similar Medicare Providers

1477827582 — MS. YOLANDA MARIE LOWERY LPC-S
Practice Location Address:

1840 N ALAMEDA DR
BATON ROUGE, LA
70815-8803

Practice Phone: 225-930-4530
Practice Fax: 225-930-4532

1023978657 — COMPASSIONATE CARE TRANSPORTATION SERVICES LLC
Practice Location Address:

12331 SHERBROOK DR
BATON ROUGE, LA
70815-6645

Practice Phone: 225-603-3399
Practice Fax:

1144227398 — N&T PHARMACY, INC.
Practice Location Address:

1124 MARQUE ANN DR , SUITE B
BATON ROUGE, LA
70815-2635

Practice Phone: 225-272-0007
Practice Fax: 225-272-2277

1386643609 — MARK G NEWMAN M.D.
Practice Location Address:

9000 AIRLINE HWY , STE. 370
BATON ROUGE, LA
70815-4114

Practice Phone: 225-924-8338
Practice Fax: 225-922-3745

1194724559 — CHARLES M STEDMAN M.D.
Practice Location Address:

9000 AIRLINE HWY , STE. 370
BATON ROUGE, LA
70815-4114

Practice Phone: 225-924-8338
Practice Fax: 225-922-3745

1083614101 — LISA CRAWFORD GAUTREAU MD
Practice Location Address:

9000 AIRLINE HWY , SUITE 620
BATON ROUGE, LA
70815-4114

Practice Phone: 225-927-5480
Practice Fax: 225-925-0896

Directions to “ MRS. SHRILDA GRADNEY BAILEY FAMILY NURSE PRACTIT” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.