Provider Demographics
NPI:1538638275
Name:BAILEY, JESSICA JANAY (MNSC, APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JANAY
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MNSC, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 LESLIE ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-4027
Mailing Address - Country:US
Mailing Address - Phone:870-845-1933
Mailing Address - Fax:870-845-1953
Practice Address - Street 1:1400 LESLIE ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-4027
Practice Address - Country:US
Practice Address - Phone:870-845-1933
Practice Address - Fax:870-845-1953
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-23
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005993363LF0000X
ARR77410163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily