Bailey, Jessica
Bailey, Jessica is an sole proprietor health care provider with primary practice located at 333 N 18Th Ave Suite #B, Pocatello ID 83201-3358. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bailey, Jessica can be contacted via phone (208) 232-2146.Contact Information
Primary practice address
333 N 18Th Ave Suite #B
Pocatello ID 83201-3358
Phone: (208) 232-2146
Fax: (208) 232-2770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1033 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 11280373-1206 | Utah |
Profile Details
| NPI number | 1588909261 |
|---|---|
| LBN Legal business name | Bailey, Jessica |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2012 |
| Last updated | Sep 14th, 2023 - about 3 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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