Provider / Organization | NPI | Date Certified |
---|---|---|
BAILEY LYNN TULLIS | 1720798580 | 2022-12-27 |
Bailey Lynn Tullis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1720798580. Registration indicates Bailey Lynn Tullis is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Bailey Lynn Tullis FNP |
Practice Office Address | 1009 NOVUS DR STE 1A JOHNSON CITY, TN US |
Practice Office Telephone | 4232822516 |
Mailing Address | 122 MOBLEY RD BLOUNTVILLE, TN 376175429 US |
Business Telephone | 4233353245 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 32855
TN |
193400000X SING | Group Code |