Individual
MS. JESSICA TYLER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3849 SADDLEMIRE RD, BINGHAMTON, NY 13903-6231
(607) 669-4201
(607) 775-7502
Mailing address
3849 SADDLEMIRE RD, BINGHAMTON, NY 13903-6231
(607) 669-4201
(607) 775-7502
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
646529
NY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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