Individual
CARRIE JO BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1314
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4501
(208) 422-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRM1715
ID
207R00000X
Internal Medicine Physician
Primary
M-16409
ID
207R00000X
Internal Medicine Physician
MRM1715
ID
208M00000X
Hospitalist Physician
19715
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2013
Last updated
09/19/2025
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