Individual
MRS. JENNIFER A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 TOWER CIRCLE, SOMERSET, KY 42503
(606) 772-3376
(606) 677-0335
Mailing address
85 TOWER CIRCLE, SOMERSET, KY 42503
(606) 772-3376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041336577
IL
363LF0000X
Family Nurse Practitioner
Primary
5583P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00326397
RAILROAD MEDICARE
IL
Enumeration date
05/18/2006
Last updated
06/30/2014
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