Provider Demographics
NPI:1265735922
Name:GAILEY, YULANDER (APRN)
Entity type:Individual
Prefix:
First Name:YULANDER
Middle Name:
Last Name:GAILEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 W COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7068
Mailing Address - Country:US
Mailing Address - Phone:501-812-5545
Mailing Address - Fax:501-812-5546
Practice Address - Street 1:105 FRANKIE LN
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602-2685
Practice Address - Country:US
Practice Address - Phone:870-247-6160
Practice Address - Fax:855-448-1888
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
AR213193363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator