Jordan Renee Baker MPA, PA-C

NPI 1013262393 - Physician Assistant - 363A00000X

NPI Details
NPI 1013262393
Gender Female
Enumeration Date 07/23/2012
Last Updated 02/11/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
14214 BALLANTYNE LAKE RD
SUITE 100
CHARLOTTE NC, 28277-3372, US
Phone (704) 667-2650
Fax (704) 544-0172
Business Location
PO BOX 60951
CHARLOTTE NC, 28260-0951, US
Phone (704) 667-2650
Fax (704) 544-0172
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-03625
Remove 1013262393 NPI Number
 

According to our database, Ms. Jordan Renee Baker MPA, PA-C NPI is 1013262393, taxonomy code is 363A00000X and license number is 0010-03625, license state is located at North Carolina. Jordan Renee Baker MPA, PA-C physically located at 14214 Ballantyne Lake Rd, Charlotte NC, 28277-3372. NPI Number Jordan Renee Baker MPA, PA-C has the Individual type.

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1013262393 NPI number is provided on an as is basis without warranty of any kind. 1013262393 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Renee Baker MPA, PA-C are for informational purposes only.