Individual
JUSTIN CLARK BAYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9631 N NEVADA ST, SPOKANE, WA 99218-1133
(509) 467-1100
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61168611
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61168611
WA
Other
Enumeration date
05/18/2021
Last updated
08/09/2021
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