Doctor Name: | JEAN M BAILEY |
NPI Number: | 1376896670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN092042 |
Business Practice Address: | 10 Doctors St Metter, GA - 304393337 |
Business Phone Number: | 9126855715 |
Business Fax Number: | 9126853461 |
Mailing Address: | 602 E 72nd St, SAVANNAH |
State: | GA |
Postal Code: | 314054913 |
Phone Number: | 9128197878 |
Fax Number: | 9128197850 |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN092042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |