Individual
MRS. JENNIFER SARAH BAECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
713682
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
22976
CA
Other
Enumeration date
04/16/2014
Last updated
11/11/2020
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