Individual
MARYE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 773-3503
(844) 661-6951
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 773-3503
(662) 773-6457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R906718
MS
Other
Enumeration date
06/14/2024
Last updated
07/10/2025
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