Dr. Joshua Nissi Christian Bakke, M. D.
Pediatrics in Memphis, TN. Individual provider (NPI-1).
NPI number1487074712
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1487074712
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joshua Nissi Christian Bakke
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2014
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 56186 | TN | Yes |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 56186 | TN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1129 Hale RdMemphis, TN 38116
Phone 901-396-0390
Mailing address
1129 Hale RdMemphis, TN 38116-6373
Phone 901-396-0390
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