Basic Information
| Provider Information | |||||||||
| NPI: | 1265735922 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GAILEY | ||||||||
| FirstName: | YULANDER | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4702 W COMMERCIAL DR | ||||||||
| Address2: | |||||||||
| City: | NORTH LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721167068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5018125545 | ||||||||
| FaxNumber: | 5018125546 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 FRANKIE LN | ||||||||
| Address2: | |||||||||
| City: | WHITE HALL | ||||||||
| State: | AR | ||||||||
| PostalCode: | 716022685 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702476160 | ||||||||
| FaxNumber: | 8554481888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2010 | ||||||||
| LastUpdateDate: | 03/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | N | Other Service Providers | Case Manager/Care Coordinator | 363L00000X | 213193 | AR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.