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NPI Code Detail

MEDICARE: SARAH BAKER

MEDICARE: SARAH BAKER
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
1363L00000XNurse Practitioner908547MS

General Provider Information

NPI Number : 1073442729
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BAKER
Provider Business Mailing Address
First Line : 969 LAKELAND DR
Second Line :
City : JACKSON
State : MS
Zip : 39216-4606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 969 LAKELAND DR
Second Line :
City : JACKSON
State : MS
Zip : 39216-4606
Country : US
Telephone Number : 601-200-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 06/29/2026

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Directions to “ SARAH BAKER ” Practice Location

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