Healthcare Provider Details

I. General information

NPI: 1770793085
Provider Name (Legal Business Name): JULIE DIANA BAKER DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DUKE MEDICINE CIR
DURHAM NC
27710-6849
US

IV. Provider business mailing address

40 DUKE MEDICINE CIR
DURHAM NC
27710-3456
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-2471
  • Fax:
Mailing address:
  • Phone: 919-684-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number243635
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5006618
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: