Jettie Ian Bailey BSN RN CWON

NPI 1316108590 - Registered Nurse - 163WD0400X

NPI Details
NPI 1316108590
Gender Female
Enumeration Date 06/20/2008
Last Updated 06/20/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 N 2ND ST
CLINTON MO, 64735-1192, US
Phone (660) 885-5511
Fax
Business Location
1600 N 2ND ST
CLINTON MO, 64735-1192, US
Phone (660) 885-5511
Fax
Toxanomy
Taxonomy Code 163WD0400X
License State Missouri
License Number 107476
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According to our database, Miss Jettie Ian Bailey BSN RN CWON NPI is 1316108590, taxonomy code is 163WD0400X and license number is 107476, license state is located at Missouri. Jettie Ian Bailey BSN RN CWON physically located at 1600 N 2nd St, Clinton MO, 64735-1192. NPI Number Jettie Ian Bailey BSN RN CWON has the Individual type.

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1316108590 NPI number is provided on an as is basis without warranty of any kind. 1316108590 is maintained by the National Plan & Provider Enumeration System. The contents of Jettie Ian Bailey BSN RN CWON are for informational purposes only.