Provider Demographics
NPI:1164993549
Name:BAILEY, JACQUELINE MARIE (MA, HHA, PHLEB, EKG)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:MARIE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MA, HHA, PHLEB, EKG
Other - Prefix:MS
Other - First Name:J.MARIE
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AAS
Mailing Address - Street 1:1421 MEREDITH DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3215
Mailing Address - Country:US
Mailing Address - Phone:513-225-8611
Mailing Address - Fax:
Practice Address - Street 1:3382 DESHLER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-2106
Practice Address - Country:US
Practice Address - Phone:513-969-6190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider