Individual
JAMIL MARIE BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221446
AZ
363LF0000X
Family Nurse Practitioner
Primary
221446
AZ
Other
Enumeration date
01/28/2019
Last updated
06/13/2019
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