Counselor, Mental Health
Mrs. JACQUELINE BAILEY RIC, FNP-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992916696 · enumerated 2007-05-24 · record updated 2025-07-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: JACQUELINE CODERRE
Addresses and phones
- Mailing address 1820 ABBOTSFORD DR STE 630, VIENNA, VA, 22182-3420 (860) 930-8193 Google Maps Apple Maps OpenStreetMap
- Practice location 8245 BOONE BLVD STE 630, VIENNA, VA, 22182-3894 (703) 679-8629 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · License 0024167578 VA
- Counselor, Mental Health 101YM0800X · Primary · License 0704015932 VA
In this directory
Locations and evidence
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Practice location
VIENNA, VA, 221823894
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.