Provider Demographics
NPI:1891184966
Name:BAILEY, SHEREE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:LYNN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHEREE
Other - Middle Name:LYNN
Other - Last Name:BRYSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4233 MIDDLE OAKS DR APT 107
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-7965
Mailing Address - Country:US
Mailing Address - Phone:443-643-8177
Mailing Address - Fax:
Practice Address - Street 1:4233 MIDDLE OAKS DR APT 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-7965
Practice Address - Country:US
Practice Address - Phone:443-643-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA780853163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult