Individual
MS. JO ANNE L BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-8708
(855) 852-7153
Mailing address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 910-8708
(855) 852-7153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP494972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306918400
—
FL
Enumeration date
05/23/2005
Last updated
04/25/2017
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