Jennie Elizabeth Baker, APN
Nurse Practitioner, Family in Fayetteville, AR. Individual provider (NPI-1).
NPI number1770866360
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1770866360
- Entity type
- Individual (NPI-1)
- Name
- Jennie Elizabeth Baker
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2011
- Last updated
- Mar 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A03598 | AR | Yes |
| 363LF0000X | Nurse Practitioner, Family | A003598 | AR |
Practice location
1695 E Rainforest RdFayetteville, AR 72703-5385
Phone 479-445-6460
Mailing address
1695 E Rainforest RdFayetteville, AR 72703-5385
Phone 479-445-6460
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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