Bailes, Jessica
Bailes, Jessica is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 300W , Temple Terrace FL 33637. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bailes, Jessica can be contacted via phone (813) 871-8200.Contact Information
Primary practice address
12470 Telecom Dr Ste 300W
Temple Terrace FL 33637
Phone: (813) 871-8200
Fax: (813) 357-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9206590 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP9206590 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN9206590 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP9206590 | Florida |
Profile Details
| NPI number | 1710428602 |
|---|---|
| LBN Legal business name | Bailes, Jessica |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710428602 | NPPES |
| Florida | Other | 85P4Y | BCBS |
| Florida | Other | APRN9206590 | BCBS |
| Florida | Other | P02212317 | BCBS |
| Florida | MEDICAID | 023487400 | BCBS |
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