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NPI Code Detail

MEDICARE: JORDAN BAILEY BSN, RN

MEDICARE:   JORDAN  BAILEY  BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered NurseRN158626LA

General Provider Information

NPI Number : 1558215061
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN BAILEY BSN, RN
Provider Business Mailing Address
First Line : 1701 OAK PARK BLVD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8911
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1701 OAK PARK BLVD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8911
Country : US
Telephone Number : 337-494-2044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ JORDAN BAILEY BSN, RN” Practice Location

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