SHAYLICE BRAGG

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC

Dr SHAYLICE BRAGG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015 from Yale University School Of Medicine.

Contact

SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC

3903 INDIANAPOLIS BLVD
EAST CHICAGO
IN
463122555

Tel: 2193987050

SHAYLICE BRAGG Information

Npi 1912372350
Pac Id 9032409057
Professional Enrollment Id I20170307000641
Last Name BRAGG
First Name SHAYLICE
Middle Name
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Gender F
Credential
Medical School Name YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC
Group Practice Pac Id 5991600355
Number Of Group Practice Members 34
Line 1 Street Address 3903 INDIANAPOLIS BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST CHICAGO
State IN
Zip Code 463122555
Phone Number 2193987050
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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