Baker, Jacquelyn Rose

Baker, Jacquelyn Rose is an individual health care provider with primary practice located at 240 Medical Park Blvd Ste 3700 , Bristol TN 37620-7350. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baker, Jacquelyn Rose can be contacted via phone (423) 274-6365.

Contact Information

Primary practice address
240 Medical Park Blvd Ste 3700 Bristol TN 37620-7350
Phone: (423) 274-6365
Fax: (423) 990-2492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 23759 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23759 Tennessee

Profile Details

NPI number 1144713728
LBN Legal business name Baker, Jacquelyn Rose
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Oct 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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