MISS JETTIE IAN BAILEY


Address: 1600 N 2nd St, Clinton, MO 64735-1192
Phone: 6608855511

MISS JETTIE IAN BAILEY (NPI# 1316108590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316108590
Entity Type Individual
Full Name MISS JETTIE IAN BAILEY
Credential BSN RN CWON
Practice Address 1600 N 2nd St
Clinton
MO 64735-1192
Practice Telephone 6608855511
Mailing Telephone 6608855511
Enumeration Date 2008-06-20
Last Update Date 2008-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
107476 MO Nursing Service Providers

Office Location

Street Address 1600 N 2ND ST
City CLINTON
State MO
Zip Code 64735-1192

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003801747 Karl J. Haake Anesthesiology 1600 N 2nd St, Clinton, MO 64735-1192 2005-09-19
1770110520 Aaron Andrew Tjomsland Physician Assistant 1600 N 2nd St, Clinton, MO 64735-1192 2020-03-23
1023663770 Nicole Rebecca Romine Nurse Practitioner 1600 N 2nd St, Clinton, MO 64735-1192 2019-08-08
1083172415 Daniel E Roberson Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1297 2019-03-05
1093284549 Town Square Emergency Associates Pllc Emergency Medicine 1600 N 2nd St, Clinton, MO 64735-1192 2018-11-14
1235610395 Anisa Ranay Burdick Nurse Practitioner 1600 N 2nd St, Clinton, MO 64735-1297 2018-08-27
1215414255 Daniel F. Campbell Nurse Anesthetist, Certified Registered 1600 N 2nd St, Clinton, MO 64735-1192 2018-07-23
1992294458 Aimee Oerke Dietitian, Registered 1600 N 2nd St, Clinton, MO 64735-1192 2018-05-09
1285174268 Mary Darling Social Worker 1600 N 2nd St, Clinton, MO 64735-1192 2017-02-24
1891242715 Michelle Shoemaker Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1192 2016-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730543778 Courtney Briggs Speech-Language Pathologist 502 S. 5th, Clinton, MO 64735 2016-04-06
1447669924 James Taylor Thatcher II Counselor 1800 Community Drive, Clinton, MO 64735 2014-08-08
1205271897 Rocksheng Zhong Psychiatry & Neurology 1800 Community Dr, Clinton, MO 64735 2013-05-08
1407196272 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1501 E Ohio St, Clinton, MO 64735 2013-02-15
1265614176 Kristal Lynn Moran Registered Nurse 1600 N Second St, Clinton, MO 64735 2007-12-03
1174653406 Gary Allen Groff Dentist 1100 E Ohio St, Clinton, MO 64735 2007-03-06
1306908512 Andrea Jolynn Bruck Dentist 906 E Ohio, Clinton, MO 64735 2006-12-14
1992873889 Golden Valley Memorial Hospital Home Services Home Health 1600 North Second Street, Clinton, MO 64735 2006-12-01
1033205521 Bradley Mark Townsend Family Medicine 1413 South Second Street, Clinton, MO 64735 2006-10-04
1871688473 Michael Jay Harrison Chiropractor 704 E. Ohio, Clinton, MO 64735 2006-10-03
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326428087 Sandra Ella Humphrey Mincey Registered Nurse Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 2015-06-08
1891242715 Michelle Shoemaker Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1192 2016-09-08
1124434766 Kelly Raye Ornelas Registered Nurse 1600 N 2nd St, Clinton, MO 64735-1192 2014-07-03
1275769689 Donna Daughtry Royal Registered Nurse 360 County Complex Rd, Suite 200, Clinton, NC 28328-4778 2009-06-01
1609087402 Jamie L. Ketterman Registered Nurse 1602 N 2nd St, Clinton, MO 64735-1192 2007-05-24
1427007889 Harriet S Collins Registered Nurse 915 13th Ave N, Clinton, IA 52732-5067 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295351393 Jacqueline S Futrell Registered Nurse 3660 Vista Ave Ste 204, Saint Louis, MO 63110-2540 2020-06-24
1174150312 Ramona Rae Dachroeden Registered Nurse 1701 E Broadway Ste 102, Columbia, MO 65201-8029 2020-03-26
1437703204 Bertagnolli Medciation Services Registered Nurse 1008 W 93rd St, Kansas City, MO 64114-3216 2019-07-30
1487139234 Schnuck Markets Inc Registered Nurse 100 Jungermann Rd, Saint Peters, MO 63376-1608 2018-09-27
1568947315 Missouri Cvs Pharmacy, L.L.C. Registered Nurse 2183 Charbonier Rd, Florissant, MO 63031-5500 2018-09-27
1447735295 Schnuck Markets Inc Registered Nurse 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 2018-09-27
1467937201 Missouri Cvs Pharmacy, L.L.C. Registered Nurse 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 2018-09-27
1356826200 Missouri Cvs Pharmacy, L.L.C. Registered Nurse 500 Us Highway 50 W, Union, MO 63084-1938 2018-09-26
1154800241 Schnuck Markets Inc Registered Nurse 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 2018-08-09
1205189024 Missouri Cvs Pharmacy, L.L.C. Registered Nurse 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 2012-10-17
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Competitor

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City CLINTON
Zip Code 64735

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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