Individual
JENNIFER L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
504 N MAIN ST, ROBERSONVILLE, NC 27871-9567
(252) 795-5555
(252) 795-5566
Mailing address
107 W SAINT JOHN ST, TARBORO, NC 27886-4316
(252) 823-4300
(252) 795-5566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08320
NC
Other
Enumeration date
08/16/2018
Last updated
02/02/2022
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