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NPI Code Detail

MEDICARE: MS. JO ANNE L BAXTER N.P

MEDICARE: MS. JO ANNE L BAXTER N.P
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 PractitionerARNP494972FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811990070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JO ANNE L BAXTER N.P
Provider Business Mailing Address
First Line : 409 BAYSHORE BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33606-2707
Country : US
Telephone Number : 813-910-8708
Fax Number : 855-852-7153
Provider Business Practice Location Address
First Line : 12662 TELECOM DR
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-0935
Country : US
Telephone Number : 813-910-8708
Fax Number : 855-852-7153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/25/2017

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