Individual
JACQUELINE RENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 502, LEXINGTON, KY 40503-1471
(859) 278-2232
(859) 278-1543
Mailing address
1760 NICHOLASVILLE RD, SUITE 502, LEXINGTON, KY 40503-1471
(859) 278-2232
(859) 278-1543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100012460
—
KY
Enumeration date
11/10/2006
Last updated
12/09/2020
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