Clifford Eugene Baker, NP
Nurse Practitioner, Family in Gulfport, MS. Individual provider (NPI-1).
NPI number1104928605
StatusActive
Last updated in NPPESOct 26, 2015
Details
- NPI
- 1104928605
- Entity type
- Individual (NPI-1)
- Name
- Mr. Clifford Eugene Baker
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2006
- Last updated
- Oct 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R690392 | MS | Yes |
| 367A00000X | Advanced Practice Midwife | – | – |
Practice location
11240 Highway 49Ste 300
Gulfport, MS 39503-4151
Phone 228-284-4342 · Fax 228-284-4345
Mailing address
11240 Highway 49Ste 300
Gulfport, MS 39503-4151
Phone 228-284-4342 · Fax 228-284-4345
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