Provider Demographics
NPI:1063889582
Name:PERSUADED HEALTH CARE, LLC
Entity type:Organization
Organization Name:PERSUADED HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BAYLESS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN-FNP-BC
Authorized Official - Phone:606-248-0507
Mailing Address - Street 1:PO BOX 1978
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965-3978
Mailing Address - Country:US
Mailing Address - Phone:606-248-0507
Mailing Address - Fax:606-248-3963
Practice Address - Street 1:123 N 19TH ST, 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-4096
Practice Address - Country:US
Practice Address - Phone:606-248-0507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty