MEDICARE: MS. JANET BAKER KING APRN-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
1	363LF0000X	Family Nurse Practitioner	RN1870602	FL

General Provider Information

NPI Number	:	1437300373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET BAKER KING APRN-BC

Provider Business Mailing Address
First Line	:	1112 SAN ANTONIO LN
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-9306
Country	:	US
Telephone Number	:	954-257-6911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 SAN ANTONIO LN
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-9306
Country	:	US
Telephone Number	:	352-633-1709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	03/28/2017

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