Individual
NJAMEH BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2005 TECHNOLOGY PKWY, SUITE 440, MECHANICSBURG, PA 17050-9413
(717) 791-2540
(717) 791-2549
Mailing address
409 SOUTH FRONT STREET, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014290
PA
363LA2200X
Adult Health Nurse Practitioner
SP014290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102973017
—
PA
Enumeration date
10/03/2014
Last updated
01/23/2021
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