Doctor Name: | MS. JACQUELINE ELIZABETH BAILY |
NPI Number: | 1164781522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENCE PRACTICAL NU |
License Number: | L0016571M2059762 |
Business Practice Address: | 2401 Nw 39th/i-44 Service Rd. Suite 103 Oklahoma City, OK - 73112 |
Business Phone Number: | 4055571655 |
Business Fax Number: | 4055250677 |
Mailing Address: | 2401 Nw 39th/i-44 Service Rd., Suite 103 OKLAHOMA CITY |
State: | OK |
Postal Code: | 73112 |
Phone Number: | 4055571655 |
Fax Number: | 4055250677 |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L0016571M2059762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |