MEDICARE: MRS. JANELLE RENEE BAKER PHD ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	208759	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3-002015	AL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4046560	KY
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	845334	NV
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704378152	MI
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	258474	AZ
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10024719	OR
8	363LA2200X	Adult Health Nurse Practitioner	ARNP2680762	FL
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	896806	MS
10	363LG0600X	Gerontology Nurse Practitioner	ARNP2680762	FL
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP2680762	FL
12	363LA2200X	Adult Health Nurse Practitioner	896806	MS
13	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	31432	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134150006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANELLE RENEE BAKER PHD ARNP

Provider Business Mailing Address
First Line	:	1701 WHITE ST
Second Line	:
City	:	MCCOMB
State	:	MS
Zip	:	39648-2711
Country	:	US
Telephone Number	:	601-249-4218
Fax Number	:	601-249-4234

Provider Business Practice Location Address
First Line	:	3800 W BROWARD BLVD STE 100
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-1018
Country	:	US
Telephone Number	:	888-587-0335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/09/2025

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