DAMON LAMAR BAKER


Address: 12533 Sampson Rd, Jacksonville, Fl, FL 32218
Phone: 9046315019

DAMON LAMAR BAKER (NPI# 1629684170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629684170
Entity Type Individual
Full Name DAMON LAMAR BAKER
Credential APRN
Practice Address 12533 Sampson Rd
Jacksonville, Fl
FL 32218
Practice Telephone 9046315019
Mailing Telephone 9046315019
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11007328 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAMON BAKER

NPI Name Taxonomy Address Enumeration
1124096573 Damon L Baker Internal Medicine 717 S Houston Ave Ste 300, Tulsa, OK 74127-9006 2006-03-10

Office Location

Street Address 12533 SAMPSON RD
City JACKSONVILLE, FL
State FL
Zip Code 32218

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE, FL
Zip Code 32218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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