Provider Demographics
NPI:1932706827
Name:BAILEY, GAIL JEAN
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:JEAN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROCK RUN RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:WV
Mailing Address - Zip Code:26180-5564
Mailing Address - Country:US
Mailing Address - Phone:304-588-4920
Mailing Address - Fax:
Practice Address - Street 1:100 ROCK RUN RD
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:WV
Practice Address - Zip Code:26180-5564
Practice Address - Country:US
Practice Address - Phone:304-588-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant