| NPI | 1952877292 |
|---|---|
| Former Name | JESSICA BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0100871-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9368796) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2025-07-24 |