Individual
MS. BOUGAINVILLA T BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CMN
Contact information
Practice address
1760 EDGEWOOD AVE., WEST, JACKSONVILLE, FL 32208
(904) 253-1030
(904) 924-1773
Mailing address
900 UNIVERISTY BLVD. NORTH, MC 75, JACKSONVILLE, FL 32211
(904) 253-2062
(904) 253-1942
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP2164831
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP2164832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3022021-00
—
FL
05
—
302202100
—
FL
Enumeration date
08/05/2006
Last updated
01/02/2013
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