Provider Demographics
NPI:1114800968
Name:CLAYTON, BAYLIE LEANN (APRN)
Entity type:Individual
Prefix:MRS
First Name:BAYLIE
Middle Name:LEANN
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:AR
Mailing Address - Zip Code:72104-2712
Mailing Address - Country:US
Mailing Address - Phone:501-337-1836
Mailing Address - Fax:
Practice Address - Street 1:850 HENRY ST
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:AR
Practice Address - Zip Code:72104-2712
Practice Address - Country:US
Practice Address - Phone:501-337-1836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR219695207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine