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MARY JANE BAILEY APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942725163

Individual Registrant:
 MARY JANE BAILEY APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1328 COASTAL HWY  PANACEA, FL 32346-2151 US
Tel: 850-984-4735  Fax: 850-984-4742

Contact information for business:
2804 REMINGTON GREEN CIR STE 2  TALLAHASSEE, FL 32308-1550 US
Tel: 850-385-4494  Fax: --

Registration Information:
NPI: 1942725163
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLAPRN3254802

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
023352400FL05




HEALTH CARE JOBS FL - Page 1



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