Individual
MRS. JESSICA LAILE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5201 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5312
(501) 748-8000
Mailing address
118 COBBLESTONE CIR, NORTH LITTLE ROCK, AR 72116-3739
(501) 626-6260
(501) 753-5011
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CO1411
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154338701
—
AR
01
—
5X206
BLUE CROSS OF AR
AR
Enumeration date
09/28/2006
Last updated
06/16/2010
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