Individual
JENELLE LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(802) 989-3497
Mailing address
59 PURITAN RD, SWAMPSCOTT, MA 01907-2725
(802) 989-3497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2278774
MA
Other
Enumeration date
09/14/2017
Last updated
10/01/2020
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