Individual
JESSIE DEANN BAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2109 143RD ST, LUBBOCK, TX 79423-6695
(575) 703-8985
Mailing address
2109 143RD ST, LUBBOCK, TX 79423-6695
(575) 703-8985
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1127698
TX
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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