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Individual

JAMIE LEIGH BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1373 E SR 62, MADISON, IN 47250
(812) 801-0229
(812) 801-8705
Mailing address
721 S PRESTON ST, LOUISVILLE, KY 40203-2319

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007371A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104961
ANTHEM
IN
05
300005484
IN
01
4980820
AETNA
IN
05
7100495020
KY
Enumeration date
07/18/2017
Last updated
04/12/2022
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