Individual
SHARON L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
(877) 205-2024
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(877) 205-2024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
134183311
KS
363L00000X
Nurse Practitioner
NP-990028
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
4566
WY
363LA2100X
Acute Care Nurse Practitioner
APN.0990028-NP
CO
363LA2200X
Adult Health Nurse Practitioner
APN.0990028-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420580A
—
KS
05
—
137169000
—
WY
05
—
72357550
—
CO
Enumeration date
09/30/2006
Last updated
01/21/2021
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