Baxter, Jacqueline

Baxter, Jacqueline is an individual health care provider with primary practice located at 17 Ridgeway Rd , Norris TN 37828. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Baxter, Jacqueline can be contacted via phone (865) 247-5196.

Contact Information

Primary practice address
17 Ridgeway Rd Norris TN 37828
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1235795857
LBN Legal business name Baxter, Jacqueline
Credentials NCPRSS
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated May 20th, 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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