Individual
BAYLEE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
8700 N POTTSVILLE ST, WEST TERRE HAUTE, IN 47885-9609
(812) 239-0386
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28253688C
IN
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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