Individual
JENNA KAY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
154 GOVERNMENT CENTER DR, MOCKSVILLE, NC 27028-6299
(336) 753-6500
Mailing address
154 GOVERNMENT PLAZA DRIVE, MOCKSVILLE, NC 27028
(336) 753-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07337
NC
363AM0700X
Medical Physician Assistant
0010-07337
NC
Other
Enumeration date
04/12/2017
Last updated
12/01/2021
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