Baker, Vanessa Y

Baker, Vanessa Y is an individual health care provider with primary practice located at 241 Lakes Blvd , Lake Park GA 31636-5007. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Baker, Vanessa Y can be contacted via phone (229) 433-5843.

Contact Information

Primary practice address
241 Lakes Blvd Lake Park GA 31636-5007
Phone: (229) 433-5843
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN072455 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN072455 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN072455 Georgia

Profile Details

NPI number 1861503757
LBN Legal business name Baker, Vanessa Y
Credentials FNP, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 6th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861503757 NPPES
Georgia MEDICAID 000803481A

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