Provider Demographics
NPI:1073582185
Name:BAKER, JOYCE PUCKETT (ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:PUCKETT
Last Name:BAKER
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 765
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28070-0765
Mailing Address - Country:US
Mailing Address - Phone:704-896-7915
Mailing Address - Fax:704-892-4272
Practice Address - Street 1:221 13TH AVENUE PL NW
Practice Address - Street 2:SUITE 202
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2596
Practice Address - Country:US
Practice Address - Phone:828-320-2387
Practice Address - Fax:828-324-9526
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900394363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health