Individual
JENNIFFER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
754 S HIGHWAY 27, SOMERSET, KY 42501-3509
(606) 305-2516
Mailing address
3877 KEAVY RD, LONDON, KY 40744-8890
(606) 305-2516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014568
KY
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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