Individual
JESSICA DIANE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SPARKS AVE, JAMESTOWN, KY 42629-2449
(731) 394-1145
Mailing address
579 SULPHUR CREEK RD, COLUMBIA, KY 42728-9124
(270) 566-1348
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3017614
KY
Other
Enumeration date
04/13/2022
Last updated
08/08/2022
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