Individual
JEANNETTE ELISABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 S PROSPECT ST, 454AR2, BURLINGTON, VT 05401-3456
(802) 847-4589
(802) 847-4918
Mailing address
1 S PROSPECT ST, 454AR2, BURLINGTON, VT 05401-3456
(802) 847-4589
(802) 847-4918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0086056
VT
363LA2200X
Adult Health Nurse Practitioner
1010086056
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12381353
CAQH
—
Enumeration date
06/04/2012
Last updated
01/11/2024
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