Provider Demographics
NPI:1093735797
Name:BAILEY, VICTORIA JEFFERYS I (FNP)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:JEFFERYS
Last Name:BAILEY
Suffix:I
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2657 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-2891
Mailing Address - Country:US
Mailing Address - Phone:760-729-5636
Mailing Address - Fax:
Practice Address - Street 1:VA MEDICAL CTR
Practice Address - Street 2:3350 LA JOLLA VILLIAGE DR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-642-6242
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA6901363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner