Provider Demographics
NPI:1093338345
Name:BAILEY, DEJANET (FNP-C)
Entity type:Individual
Prefix:
First Name:DEJANET
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 I ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20052-0086
Mailing Address - Country:US
Mailing Address - Phone:240-899-9377
Mailing Address - Fax:
Practice Address - Street 1:18 MDG
Practice Address - Street 2:UNIT 5142
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96368
Practice Address - Country:US
Practice Address - Phone:098-938-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC316730163W00000X
CA95145689163W00000X
NC351922163WL0100X
NC1672163WM1400X
KY3018187363LF0000X
DC1047862163W00000X
MT258848363LF0000X
TX1036437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)