Provider Demographics
NPI:1730907817
Name:BAILEY, NANCY JO
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JO
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7694 MILLSBORO RD
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-8900
Mailing Address - Country:US
Mailing Address - Phone:567-560-7142
Mailing Address - Fax:
Practice Address - Street 1:7694 MILLSBORO RD
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-8900
Practice Address - Country:US
Practice Address - Phone:567-560-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
OH372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion