Provider Demographics
NPI:1346060159
Name:SHEARRER, BAILEY LANE (FNP-BC)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:LANE
Last Name:SHEARRER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:LANE
Other - Last Name:QUISENBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3309 MEADOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-3805
Mailing Address - Country:US
Mailing Address - Phone:636-208-9860
Mailing Address - Fax:
Practice Address - Street 1:408 BROTHERS AVE
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028
Practice Address - Country:US
Practice Address - Phone:636-429-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024041210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily