Individual
DESTINY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 220-0990
Mailing address
1105 LANTERN TRAIL AVE UNIT 101, COLUMBUS, OH 43228-7440
(614) 749-1132
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401620060314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401620060314
NURSE AIDE
OH
Enumeration date
08/19/2022
Last updated
08/19/2022
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