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Contact Information

EVERETT V BAKER, NURSE PRACTITIONER
2410 SUSANNAH ST
JOHNSON CITY, TN37601-1748
 Phone: 423-282-9011
 Fax: 423-722-0291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EVERETT V BAKER · (Male)

NPI Number 1154746261
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 02/26/2014
Last updated 12/17/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 18364
Hospital affiliation(s)
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
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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