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Jacqueline Bailey, RIC, FNP-C

Counselor, Mental Health in Vienna, VA. Individual provider (NPI-1).

NPI number1992916696
StatusActive
Last updated in NPPESJul 20, 2025

Details

NPI
1992916696
Entity type
Individual (NPI-1)
Name
Mrs. Jacqueline Bailey
Credential
RIC, FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2007
Certification date
Jul 19, 2025
Last updated
Jul 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health0704015932VAYes
363LF0000X Nurse Practitioner, Family0024167578VA

Other names

  • Jacqueline Coderre (Former Name)

Practice location

8245 Boone Blvd Ste 630
Vienna, VA 22182-3894

Phone 703-679-8629

Mailing address

1820 Abbotsford Dr Ste 630
Vienna, VA 22182-3420

Phone 860-930-8193

Other practice locations

3289 Woodburn Rd Ste 220
Annandale, VA 22003-7313

Phone 698-703-1079

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Other Mental Health Counselor providers in Vienna, VA

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