Provider Demographics
NPI:1255146585
Name:BAKER, EMILY MEGAN (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MEGAN
Last Name:BAKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:YOUNG
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1679 HIGHWAY 820
Mailing Address - Street 2:
Mailing Address - City:CHOUDRANT
Mailing Address - State:LA
Mailing Address - Zip Code:71227-3335
Mailing Address - Country:US
Mailing Address - Phone:817-874-3546
Mailing Address - Fax:
Practice Address - Street 1:3845 ELM ST STE 3
Practice Address - Street 2:
Practice Address - City:CHOUDRANT
Practice Address - State:LA
Practice Address - Zip Code:71227-3017
Practice Address - Country:US
Practice Address - Phone:318-695-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA239818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily