Provider Demographics
NPI:1699415521
Name:GLOVER, BAILEY PAIGE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:PAIGE
Last Name:GLOVER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CUMMINGS LN
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-8576
Mailing Address - Country:US
Mailing Address - Phone:615-838-5589
Mailing Address - Fax:
Practice Address - Street 1:410 N PARRISH PL STE 2000
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1004
Practice Address - Country:US
Practice Address - Phone:615-826-2080
Practice Address - Fax:615-822-3213
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30561208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics