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NPI Code Detail

MEDICARE: EMILY JANE BAKER CRNP

MEDICARE:   EMILY JANE BAKER  CRNP
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
1363LF0000XFamily Nurse PractitionerF09161085AL

General Provider Information

NPI Number : 1790281764
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JANE BAKER CRNP
Provider Business Mailing Address
First Line : 133 FRANKIE LN
Second Line :
City : MADISON
State : AL
Zip : 35757-6922
Country : US
Telephone Number : 256-348-2047
Fax Number :
Provider Business Practice Location Address
First Line : 2227 DRAKE AVE SW STE 26
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35805-5146
Country : US
Telephone Number : 256-801-9222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 03/30/2018

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Directions to “ EMILY JANE BAKER CRNP” Practice Location

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