Provider Demographics
NPI:1083184964
Name:BAILEY, APRIL LETREASE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LETREASE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:LETREASE
Other - Last Name:HUMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:132 LIBERTY PKWY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3836
Mailing Address - Country:US
Mailing Address - Phone:931-249-3726
Mailing Address - Fax:
Practice Address - Street 1:329 NORTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7361
Practice Address - Country:US
Practice Address - Phone:931-249-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00174799374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide