Individual
JONATHAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
543 POWELL LN, BENTON, KY 42025-5366
(270) 415-7070
(270) 415-7071
Mailing address
543 POWELL LN, BENTON, KY 42025-5366
(270) 415-7070
(270) 415-7071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018519
KY
Other
Enumeration date
10/12/2022
Last updated
06/01/2023
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