Individual
MR. CLIFFORD EUGENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 284-4342
(228) 284-4345
Mailing address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 284-4342
(228) 284-4345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R690392
MS
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116632
—
MS
Enumeration date
09/04/2006
Last updated
10/26/2015
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