Individual
JENNIE ELIZABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
Mailing address
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 445-6460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A003598
AR
363LF0000X
Family Nurse Practitioner
Primary
A03598
AR
Other
Enumeration date
09/21/2011
Last updated
03/17/2018
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