Individual
EBONY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 N VAN BUREN ST, WEINER, AR 72479-9289
(870) 605-0014
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
A005116
AR
Other
Enumeration date
01/13/2015
Last updated
09/24/2025
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