Provider Demographics
NPI:1265642953
Name:BAKER, JANICE ELAINE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ELAINE
Last Name:BAKER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:4705 TOWNE CENTRE RD
Mailing Address - Street 2:STE 302
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2819
Mailing Address - Country:US
Mailing Address - Phone:989-583-4220
Mailing Address - Fax:989-583-4287
Practice Address - Street 1:1447 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4727
Practice Address - Country:US
Practice Address - Phone:989-583-4220
Practice Address - Fax:989-583-4287
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2017-02-16
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Provider Licenses
StateLicense IDTaxonomies
MI4704116344363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health