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Contact Information

JACQUELYN R BAKER, FNP-C
240 MEDICAL PARK BLVD STE 3700
BRISTOL, TN37620-7350
 Phone: 423-274-6365
 Fax: 423-990-2492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for JACQUELYN R BAKER · (Female)

NPI Number 1144713728
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 06/08/2018
Last updated 10/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 23759
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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