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Contact Information

JACQUELINE BAKER, CRNP
4700 WISSAHICKON AVE STE 110
PHILADELPHIA, PA19144-4252
 Phone: 267-597-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE BAKER · (Female)

NPI # 1811525819
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 03/27/2020
Last updated 12/08/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP021672
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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