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Contact Information

ANTWAN L BAKER, AGACNP-BC
865 S 1ST ST
JESUP, GA31545-0210
 Phone: 912-427-6811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ANTWAN L BAKER · (Male)

NPI # 1295378313
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 10/21/2019
Last updated 10/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # NCO-000003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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