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Individual

JORDAN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3908 OLD BUCKINGHAM RD, POWHATAN, VA 23139-5753
(804) 598-5637
Mailing address
2410 PAGEHURST DR, MIDLOTHIAN, VA 23113-6411
(804) 897-6140

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167210
VA

Other

Enumeration date
04/18/2007
Last updated
11/23/2015
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