Individual provider · Type 1 NPI
Shannon Theresa Bailey, NP
Family Nurse Practitioner · Pompton Plains, NJ
NPI number
1285301499
Active
Practice location
562 Nj - 23
Pompton Plains, NJ 07444
Mailing address
1092 Macopin Rd
West Milford, NJ 07480-1509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 0024182216 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ14891300 (NJ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285301499
Shannon Theresa Bailey, NP's National Provider Identifier is 1285301499, issued on Aug 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pompton Plains, NJ. The record was last updated on Aug 16, 2023.