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NPI Code Detail

MEDICARE: DR. ELIZABETH MCCONNELL BAKER DNP, ACNP-BC

MEDICARE: DR. ELIZABETH MCCONNELL BAKER DNP, ACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner11260TN

General Provider Information

NPI Number : 1225334469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH MCCONNELL BAKER DNP, ACNP-BC
Provider Business Mailing Address
First Line : PO BOX 732872
Second Line :
City : DALLAS
State : TX
Zip : 75373-2872
Country : US
Telephone Number : 901-516-2362
Fax Number : 901-516-8254
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-2875
Fax Number : 901-516-8254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2011
Last Update Date : 04/28/2026

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