Provider Demographics
NPI:1053064717
Name:BAILEY, CONSTANCE GAINEY (FNP)
Entity type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:GAINEY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 MCBOW DR
Mailing Address - Street 2:
Mailing Address - City:ROWESVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29133-9594
Mailing Address - Country:US
Mailing Address - Phone:803-682-4322
Mailing Address - Fax:
Practice Address - Street 1:439 NORTH ST
Practice Address - Street 2:
Practice Address - City:BAMBERG
Practice Address - State:SC
Practice Address - Zip Code:29003-1317
Practice Address - Country:US
Practice Address - Phone:803-245-7525
Practice Address - Fax:762-212-4581
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily