Individual
BREANA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6381 RISING SUN DR, JACKSONVILLE, FL 32218-7399
(850) 212-3623
Mailing address
6381 RISING SUN DR, JACKSONVILLE, FL 32218-7399
(850) 212-3623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5265296
FL
376J00000X
Homemaker
—
—
Other
Enumeration date
10/03/2023
Last updated
06/26/2025
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