Provider Demographics
NPI:1225334469
Name:BAKER, ELIZABETH MCCONNELL (DNP, ACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCCONNELL
Last Name:BAKER
Suffix:
Gender:F
Credentials:DNP, ACNP-BC
Other - Prefix:DR
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, ACNP-BC
Mailing Address - Street 1:281 GARLAND ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-7131
Mailing Address - Country:US
Mailing Address - Phone:901-278-7860
Mailing Address - Fax:
Practice Address - Street 1:1265 UNION AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3415
Practice Address - Country:US
Practice Address - Phone:901-516-2875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-06
Last Update Date:2011-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11260363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care