Healthcare Provider Details

I. General information

NPI: 1780535559
Provider Name (Legal Business Name): KATHERINE BAILEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9166 N CONGRESS ST
NEW MARKET VA
22844-9422
US

IV. Provider business mailing address

603 BATTLE MOUNTAIN RD
AMISSVILLE VA
20106-4331
US

V. Phone/Fax

Practice location:
  • Phone: 540-459-1340
  • Fax:
Mailing address:
  • Phone: 540-459-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0024196315
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: