Provider Demographics
NPI:1497413074
Name:BAILEY, CAMI ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CAMI
Middle Name:ELIZABETH
Last Name:BAILEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CAMI
Other - Middle Name:ELIZABETH
Other - Last Name:WESTFALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:173 INTEGRA VISTAS DR APT 403
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5395
Mailing Address - Country:US
Mailing Address - Phone:309-287-4128
Mailing Address - Fax:
Practice Address - Street 1:2158 NORTHGATE PARK LN STE 300
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6959
Practice Address - Country:US
Practice Address - Phone:309-287-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily