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Individual

KIMBERLY JANE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C, PMHNP-BC

Contact information

Practice address
6470 S HIGLEY RD, GILBERT, AZ 85298-4341
(615) 425-4200
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN146310
AZ
363LF0000X
Family Nurse Practitioner
Primary
222456
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
222456
AZ

Other

Enumeration date
11/06/2018
Last updated
06/27/2024
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