Bailey, Renee Nichols
Bailey, Renee Nichols is an individual health care provider with primary practice located at 209 N Camellia Blvd , Fort Valley GA 31030-3368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailey, Renee Nichols can be contacted via phone (478) 822-0054.Contact Information
Primary practice address
209 N Camellia Blvd
Fort Valley GA 31030-3368
Phone: (478) 822-0054
Fax: (478) 822-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-NP107764 | Georgia |
Profile Details
| NPI number | 1407018872 |
|---|---|
| LBN Legal business name | Bailey, Renee Nichols |
| Credentials | FNPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2008 |
| Last updated | Oct 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407018872 | NPPES |
| Georgia | MEDICAID | 003147242A |
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