Individual
JENNIFER DIANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6269 S NOPONE VALLEY RD, DECATUR, TN 37322-5621
(419) 260-1198
Mailing address
6269 S NOPONE VALLEY RD, DECATUR, TN 37322-5621
(419) 260-1198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211434
TN
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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