Provider Demographics
NPI:1124844766
Name:SMITH, BAYLEE NOELL (FNP)
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:NOELL
Last Name:SMITH
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:BAYLEE
Other - Middle Name:NOELL
Other - Last Name:NORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 RANDOLPH CT
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-1656
Mailing Address - Country:US
Mailing Address - Phone:951-805-9072
Mailing Address - Fax:
Practice Address - Street 1:26 RANDOLPH CT
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-1656
Practice Address - Country:US
Practice Address - Phone:951-805-9072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021464207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine