Individual provider · Type 1 NPI

Jessica Bailey, PA

Surgical Physician Assistant · Pocatello, ID

NPI number 1588909261 Active

Practice location

333 N 18th Ave, Suite #B
Pocatello, ID 83201-3358

Fax (208) 232-2770

Mailing address

333 N. 18th Avenue, Suite #B
Pocatello, ID 83201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-1033 (ID)
Surgical Physician Assistant Primary 363AS0400X11280373-1206 (UT)

Surgical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1588909261

Jessica Bailey, PA's National Provider Identifier is 1588909261, issued on Dec 6, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pocatello, ID. The record was last updated on Sep 14, 2023.