Provider Demographics
NPI:1902020852
Name:BAKER, TERESA JONES (CNM)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:JONES
Last Name:BAKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 FORSYTHIA LN
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-7406
Mailing Address - Country:US
Mailing Address - Phone:828-627-0672
Mailing Address - Fax:
Practice Address - Street 1:2177 ASHEVILLE RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3139
Practice Address - Country:US
Practice Address - Phone:828-452-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC138345163WW0101X
NC143176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered176B00000XOther Service ProvidersMidwife