| Ms Jennifer Blair Bailey, APRN | |
| 
					4024 Central Ave, St. Petersburg, FL 33711-1239  | |
| (727) 327-7656 | |
| Not Available | 
| Full Name | Ms Jennifer Blair Bailey | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 4024 Central Ave, St. Petersburg, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114705829 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9512720 (Florida) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11028960 (Florida) | Primary | 
| Entity Name | Suncoast Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659371763 PECOS PAC ID: 4082603295 Enrollment ID: O20040511001229  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Jennifer Blair Bailey, APRN Po Box 10970, St. Petersburg, FL 33733-0970 Ph: (727) 327-7656  | Ms Jennifer Blair Bailey, APRN 4024 Central Ave, St. Petersburg, FL 33711-1239 Ph: (727) 327-7656  | 
Kelsey Langford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8950 Dr M.l.k. Jr St N, Unit 102, St. Petersburg, FL 33702 Phone: 727-498-8898  | |
Mrs. Gail Lynn Davenport, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6017th St S, St. Petersburg, FL 33701 Phone: 727-893-6234 Fax: 727-553-7798  | |
Elisa Rosario Icaza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 66th St. N., Suite 510, St. Petersburg, FL 33710 Phone: 727-384-2479 Fax: 727-384-3573  | |
Ashley Gortemoller Briggs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 8th Street South, Suite A, St. Petersburg, FL 33701 Phone: 727-329-8830 Fax: 727-329-8840  | |
Marieta Georgieva Fryer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1839 Central Ave, St. Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213  | |
Mrs. Susan Aileen Lewis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, St. Petersburg, FL 33708 Phone: 727-398-6661  | |
Ethan Paul Reid, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave., St. Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213  |