NPI 1134904287

Jacy Bayless, ARNP

Practitioner Family Medicine Physician Shenandoah, IA

Practice location

Address: 300 Pershing Ave, Shenandoah, IA 51601-2355
Phone: (712) 246-7400
Mailing address: 600 West St, Shenandoah, IA 51601-1935

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence A175904 (IA)

Other Family Medicine providers in Iowa →

Registry record

NPI: 1134904287
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2023
Record last updated: 28 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.