Provider Demographics
NPI:1720787989
Name:BAKER, STEPHANIE ALLISON (DNP, APRNCNPPMHNP-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALLISON
Last Name:BAKER
Suffix:
Gender:F
Credentials:DNP, APRNCNPPMHNP-BC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ALLISON
Other - Last Name:LINSENMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 RED ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76305-2865
Mailing Address - Country:US
Mailing Address - Phone:919-648-3228
Mailing Address - Fax:
Practice Address - Street 1:3377 S PRICE RD STE 103
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3573
Practice Address - Country:US
Practice Address - Phone:480-252-5152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111392363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health