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NPI Profile for JOHN R BAILEY in DE QUEEN, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1063143329 |
|
| Status | Active | |
| Credentials | APRN-CNP, FNP-BC | |
| Entity | Individual | |
| Enumeration date | 06/17/2022 | |
| Last updated | 10/26/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOHN R BAILEY
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JOHN R BAILEY, APRN-CNP, FNP-BC