Daughtry, Christy Bayless

Daughtry, Christy Bayless is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Daughtry, Christy Bayless can be contacted via phone (270) 956-0666.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 956-0666
Fax: (270) 956-0686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 135337 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-111220 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 15138 Tennessee

Profile Details

NPI number 1316125800
LBN Legal business name Daughtry, Christy Bayless
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 8th, 2019 - about 7 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316125800 NPPES
Alabama MEDICAID 121142

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