Provider Demographics
NPI: | 1558735241 |
---|---|
Name: | BAILEY, BRITTANY (APRN) |
Entity type: | Individual |
Prefix: | |
First Name: | BRITTANY |
Middle Name: | |
Last Name: | BAILEY |
Suffix: | |
Gender: | |
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: | SC HOUSE CALLS INC |
Mailing Address - Street 2: | 111 DOCTORS CIRCLE |
Mailing Address - City: | COLUMBIA |
Mailing Address - State: | SC |
Mailing Address - Zip Code: | 29203 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 800-491-0909 |
Mailing Address - Fax: | 864-560-4413 |
Practice Address - Street 1: | SC HOUSE CALLS INC |
Practice Address - Street 2: | 111 DOCTORS CIRCLE |
Practice Address - City: | COLUMBIA |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29203 |
Practice Address - Country: | US |
Practice Address - Phone: | 800-491-0909 |
Practice Address - Fax: | 864-560-4413 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-11-18 |
Last Update Date: | 2025-03-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 5021532 | 363LF0000X |
FL | APRN11037196 | 363LF0000X |
SC | 19869 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
SC | SC78416084 | Other | MEDICARE PIN |
SC | NP3830 | Medicaid | |
SC | SC7841J577 | Other | MEDICARE PIN |