Individual
DERELDIA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1601 23RD AVE S, NASHVILLE, TN 37212-3133
(615) 419-0819
Mailing address
4124 TREEHAVEN PL, ANTIOCH, TN 37013-4727
(615) 419-0819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214843
TN
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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