Provider Demographics
NPI:1477177228
Name:BAKER, ARTESHIA NE'CHOLE
Entity Type:Individual
Prefix:
First Name:ARTESHIA
Middle Name:NE'CHOLE
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5719 BOQUERON CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-3808
Mailing Address - Country:US
Mailing Address - Phone:904-655-4679
Mailing Address - Fax:
Practice Address - Street 1:5719 BOQUERON CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-3808
Practice Address - Country:US
Practice Address - Phone:904-655-4679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker