Provider Demographics
NPI:1407590037
Name:ROLLING, BAYLEE (APRN)
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:
Last Name:ROLLING
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1702 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32348-5611
Mailing Address - Country:US
Mailing Address - Phone:855-577-5437
Mailing Address - Fax:850-838-2140
Practice Address - Street 1:15551 NW US HIGHWAY 441 UNIT 40
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-9330
Practice Address - Country:US
Practice Address - Phone:386-518-0102
Practice Address - Fax:386-518-0116
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-184483163W00000X
FLAPRN11036253363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse