Individual
CRYSTAL LEIGH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5014140
NC
363LF0000X
Family Nurse Practitioner
261459
NC
Other
Enumeration date
02/18/2021
Last updated
03/11/2021
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