Bailey, Jenny L

Bailey, Jenny L is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bailey, Jenny L can be contacted via phone (843) 777-8752.

Contact Information

Primary practice address
555 E Cheves St Florence SC 29506-2617
Phone: (843) 777-8752
Fax: (843) 777-8705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041293073 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 3975 South Carolina

Profile Details

NPI number 1053321125
LBN Legal business name Bailey, Jenny L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 19th, 2010 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053321125 NPPES
South Carolina MEDICAID AN 2006

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