Individual
JILL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1947 N FOUNDERS ST, WICHITA, KS 67206-3548
(316) 689-9175
(316) 613-4647
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45724
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12377845
MULTIPLAN
KS
01
—
14976
PHS
KS
01
—
161545
BCBS
KS
01
—
207075
HPK
KS
Enumeration date
08/07/2006
Last updated
07/16/2007
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