Provider Demographics
NPI:1033432133
Name:MCDAVID- BAYLEY, JERMAINE HOSANNA (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:JERMAINE
Middle Name:HOSANNA
Last Name:MCDAVID- BAYLEY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 UNIONPORT RD
Mailing Address - Street 2:APT MH
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7725
Mailing Address - Country:US
Mailing Address - Phone:347-621-3426
Mailing Address - Fax:
Practice Address - Street 1:1523 UNIONPORT ROAD
Practice Address - Street 2:APT MH
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7756
Practice Address - Country:US
Practice Address - Phone:347-621-3426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY573513-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse