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NPI Code Detail

MEDICARE: JACI RANAE BAILEY

MEDICARE: JACI RANAE BAILEY
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
1235Z00000XSpeech-Language Pathologist113427TX

General Provider Information

NPI Number : 1114407400
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACI RANAE BAILEY
Provider Business Mailing Address
First Line : 8477 S SUNCOAST BLVD
Second Line :
City : HOMOSASSA
State : FL
Zip : 34446-5028
Country : US
Telephone Number : 800-381-0822
Fax Number :
Provider Business Practice Location Address
First Line : 6251 STEVENSON OAKS DR
Second Line :
City : FT WORTH
State : TX
Zip : 76123-2783
Country : US
Telephone Number : 800-381-0822
Fax Number : 352-565-5201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2018
Last Update Date : 02/07/2025

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Directions to “ JACI RANAE BAILEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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