Individual provider · NPI-1

Jeannette Elisabeth Baker, APRN

Nurse Practitioner · Burlington, VT

NPI number1962763268

StatusActive

Last updated in NPPESJan 11, 2024

Details

NPI: 1962763268
Entity type: Individual (NPI-1)
Name: Jeannette Elisabeth Baker
Credential: APRN
Sex: Female
Sole proprietor: No
Enumeration date: Jun 4, 2012
Certification date: Jan 11, 2024
Last updated: Jan 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363L00000X	Nurse Practitioner	101-0086056	VT	Yes
363LA2200X	Nurse Practitioner, Adult Health	1010086056	VT

Practice location

1 S Prospect St
454ar2
Burlington, VT 05401-3456

Phone 802-847-4589 · Fax 802-847-4918

Mailing address

1 S Prospect St
454ar2
Burlington, VT 05401-3456

Phone 802-847-4589 · Fax 802-847-4918

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