Individual
KATIE JANE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1304 ELLA ST STE B, SAN LUIS OBISPO, CA 93401-4166
(805) 541-6000
(805) 541-6001
Mailing address
1304 ELLA ST STE B, SAN LUIS OBISPO, CA 93401-4166
(805) 541-6000
(805) 541-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016934
CA
Other
Enumeration date
05/13/2021
Last updated
03/20/2025
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