Carrie Jo Bailey, MD
Internal Medicine in Boise, ID. Individual provider (NPI-1).
NPI number1730529546
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1730529546
- Entity type
- Individual (NPI-1)
- Name
- Carrie Jo Bailey
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2013
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M-16409 | ID | Yes |
| 208M00000X | Hospitalist | 19715 | ND | |
| 207R00000X | Internal Medicine | MRM1715 | ID | |
| 207Q00000X | Family Medicine | MRM1715 | ID | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
500 W Fort StBoise, ID 83702-4501
Phone 208-422-1314
Mailing address
500 W Fort St # 111rBoise, ID 83702-4501
Phone 208-422-1314
Other practice locations
895 N 6th E
Mountain Home, ID 83647-2207
Mountain Home, ID 83647-2207
Phone 208-587-8401
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