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NPI Code Detail

MEDICARE: MONICA JANE BAILEY FNP

MEDICARE:   MONICA JANE BAILEY  FNP
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
1363LF0000XFamily Nurse Practitioner0001243734VA

General Provider Information

NPI Number : 1932581741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA JANE BAILEY FNP
Provider Business Mailing Address
First Line : 2110 N GREAT NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454
Country : US
Telephone Number : 757-738-1435
Fax Number : 757-362-0210
Provider Business Practice Location Address
First Line : 2110 N GREAT NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454
Country : US
Telephone Number : 757-738-1435
Fax Number : 757-362-0210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2015
Last Update Date : 02/09/2017

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Directions to “ MONICA JANE BAILEY FNP” Practice Location

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