Individual
BAILEE JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
979 ROCKY HILL RD, RONCEVERTE, WV 24970-8028
(304) 645-7270
Mailing address
PO BOX 864, UNION, WV 24983-0864
(304) 384-1340
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
105985
WV
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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