Jossett Marcia Bailey, RN
Individual provider Active NPI Community Health Worker · Berlin, MD
NPI 1215207352 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1215207352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- R142719 (MD)
- Practice address
- 9730 Healthway Dr
Berlin, MD 21811-1154 - Phone
- (410) 629-0164
- Fax
- (410) 629-0185
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R142719 | MD | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | R142719 | MD | Yes |
Addresses
Primary practice location
9730 Healthway Dr
Berlin, MD 21811-1154
Mailing address
PO Box 249
Snow Hill, MD 21863-0249
Phone (410) 632-1100
Other providers in Berlin, MD
- Back in Action Physical Therapy
- Back to Center Acupuncture, LLC
- Bobbi Lynn Bailey
- Deontae Bailey
- Joann Bailey
- Shardae Bailey
- Thomas Vincent Ballard
- Carly Banks
- Aimee Barnes
- Caitlin Barnwell
All providers in Berlin, MD · Community Health Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.