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NPI Code Detail

MEDICARE: JENIFER MERRICK BAKER AU.D.

MEDICARE: JENIFER MERRICK BAKER AU.D.
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
1237600000XAudiologist-Hearing Aid Fitter316OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1316OTHEROKSPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
212044971OTHEROKASHA

General Provider Information

NPI Number : 1144252362
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER MERRICK BAKER AU.D.
Provider Business Mailing Address
First Line : 3330 NW 56TH ST STE 105
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4426
Country : US
Telephone Number : 405-673-1327
Fax Number : 405-673-1327
Provider Business Practice Location Address
First Line : 1505 N COMMERCE ST STE 111
Second Line :
City : ARDMORE
State : OK
Zip : 73401-1859
Country : US
Telephone Number : 580-224-0377
Fax Number : 580-226-2237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 01/06/2026

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