Provider Demographics
NPI:1184494387
Name:COOK, BAILEY
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 HIGHWAY 52 BYP E
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-1009
Mailing Address - Country:US
Mailing Address - Phone:615-666-2142
Mailing Address - Fax:615-666-6135
Practice Address - Street 1:601 HIGHWAY 52 BYP E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1009
Practice Address - Country:US
Practice Address - Phone:615-666-2142
Practice Address - Fax:615-666-6135
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN265547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse