Individual
AYLESSA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
451 SR-13, WAVERLY, TN 37185
(931) 296-4203
Mailing address
1211 HIGHWAY 70 W, WAVERLY, TN 37185-1437
(931) 264-0377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000028057
TN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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