Provider Demographics
NPI:1891446902
Name:BAKER, HANNAH JOY (CRNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOY
Last Name:BAKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:JOY
Other - Last Name:GINGERICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:551 PERKINS WOOD RD
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-5539
Mailing Address - Country:US
Mailing Address - Phone:256-566-6579
Mailing Address - Fax:
Practice Address - Street 1:8344 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-3538
Practice Address - Country:US
Practice Address - Phone:256-660-1714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-144859363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner