Bailey, Khadijah
Bailey, Khadijah is an individual health care provider with primary practice located at 1950 Lee Rd Ste 104 , Winter Park FL 32789-1847. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bailey, Khadijah can be contacted via phone (407) 956-1870.Contact Information
Primary practice address
1950 Lee Rd Ste 104
Winter Park FL 32789-1847
Phone: (407) 956-1870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN5227701 | Florida |
Profile Details
| NPI number | 1528622560 |
|---|---|
| LBN Legal business name | Bailey, Khadijah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Apr 25th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528622560 | NPPES |
| Florida | Other | PN5227701 | FLORIDA NURSING LICENSE |
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