Individual
BAILEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4106
Mailing address
4601 SEMINARY PL APT 207, NEW ORLEANS, LA 70126-3468
(205) 910-7308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
963993
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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