Individual
JASMINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 CROSSINGS DR STE B, PRESCOTT, AZ 86305-7189
(928) 550-6705
Mailing address
303 E GURLEY ST # 274, PRESCOTT, AZ 86301-3804
(928) 550-6705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN174328
AZ
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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