Individual
MRS. MARY JANE CLEMENTS-BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC-ANP/GNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75696-112
KS
Other
Enumeration date
11/16/2012
Last updated
04/30/2013
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