Individual
MRS. JACQUELINE L BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1816 BOHICKET RD, SUITE F, JOHNS ISLAND, SC 29455-3318
(843) 559-1938
(843) 557-1998
Mailing address
PO BOX 336, JOHNS ISLAND, SC 29457-0336
(843) 559-1938
(843) 557-1998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3367
—
SC
Enumeration date
05/10/2006
Last updated
05/05/2010
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