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Individual

SHANNON E BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC

Contact information

Practice address
1251 NILLES RD, FAIRFIELD, OH 45014-7206
(513) 939-0300
Mailing address
1287 TERRY CT, MASON, OH 45040-1128
(217) 358-3035

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.458168
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0036463
OH

Other

Enumeration date
08/21/2023
Last updated
08/05/2024
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