Individual
JENNIFER R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 VIKING DRIVE, SUITE 200, VIRGINIA BEACH, VA 23452-7477
(757) 468-0550
(757) 468-9992
Mailing address
500 VIKING DR, SUITE, VIRGINIA BEACH, VA 23452-7477
(757) 468-0550
(757) 468-9992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001196168
VA
Other
Enumeration date
02/09/2012
Last updated
05/23/2012
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