Provider Demographics
NPI:1265985659
Name:BAILEY, GEORGIA ADWOA (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:ADWOA
Last Name:BAILEY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 VICTORY PKWY FL 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2901
Mailing Address - Country:US
Mailing Address - Phone:513-241-2123
Mailing Address - Fax:
Practice Address - Street 1:2181 VICTORY PKWY FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2901
Practice Address - Country:US
Practice Address - Phone:513-241-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7423032-4405363LF0000X
OHAPRN.CNP.020719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily