Healthcare Provider Details

I. General information

NPI: 1376316240
Provider Name (Legal Business Name): JB MEDICAL SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5922 E CALLE TUBERIA
PHOENIX AZ
85018-4636
US

IV. Provider business mailing address

5922 E CALLE TUBERIA
PHOENIX AZ
85018-4636
US

V. Phone/Fax

Practice location:
  • Phone: 480-789-0304
  • Fax:
Mailing address:
  • Phone: 480-789-0304
  • Fax: 602-731-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE BAKERMAN
Title or Position: NURSE PRACTITIONER
Credential: ACNP-BC
Phone: 480-789-0304