Individual
JENNY LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459-4780
(937) 425-0003
(937) 245-6308
Mailing address
6680 POE AVE, SUITE 200, DAYTON, OH 45414-2854
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199089
—
OH
Enumeration date
10/15/2008
Last updated
01/30/2019
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