Individual
SHIBAHN JOLENE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MS
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-5103
Mailing address
108 ABBEVILLE LN, HOLLY SPRINGS, NC 27540-7379
(410) 608-4906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3590
NC
390200000X
Student in an Organized Health Care Education/Training Program
RN600681
PA
Other
Enumeration date
10/25/2012
Last updated
08/28/2024
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