Individual
JUDITH MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
140 E I 10 SERVICE RD, SLIDELL, LA 70461
(985) 280-9909
(985) 280-9902
Mailing address
1001 GAUSE BLVD, BOX 75, SLIDELL, LA 70458-2939
(985) 280-3609
(985) 280-9651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
902402
MS
363LF0000X
Family Nurse Practitioner
AP08358
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP08358
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802255
—
LA
Enumeration date
07/20/2015
Last updated
08/20/2018
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