IndividualActive
Bailie Moore, APRN
NPI 1619406949 · Nurse Practitioner · Fayetteville, AR
Provider details
- NPI number
- 1619406949
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 112228 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone: (479) 587-1700
Fax: (479) 587-1366
Approximate (ZIP-level) locationGet directions
Mailing address
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Registry dates
- Enumerated
- 2017-06-09
- Last updated
- 2020-06-05
- Certified
- 2020-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.