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Individual

BAILEY JAY SHERBURNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
442 W HIGH ST, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28237120A
IN
363L00000X
Nurse Practitioner
Primary
CNP.0031136
OH

Other

Enumeration date
03/28/2022
Last updated
11/01/2022
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