MEDICARE: MS. JACQUELINE MARIE BAILEY MA, HHA, PHLEB, EKG

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
1	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1164993549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELINE MARIE BAILEY MA, HHA, PHLEB, EKG

Provider Business Mailing Address
First Line	:	1421 MEREDITH DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3215
Country	:	US
Telephone Number	:	513-225-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	3382 DESHLER DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-2106
Country	:	US
Telephone Number	:	513-969-6190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2018
Last Update Date	:	12/11/2018

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