Provider Demographics
NPI:1770568339
Name:BAKER, HERMA LEE JONES (APRN)
Entity type:Individual
Prefix:MRS
First Name:HERMA
Middle Name:LEE JONES
Last Name:BAKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2828 NW 3RD TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-2648
Mailing Address - Country:US
Mailing Address - Phone:352-351-4637
Mailing Address - Fax:
Practice Address - Street 1:1623 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6528
Practice Address - Country:US
Practice Address - Phone:352-732-9844
Practice Address - Fax:352-732-6787
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2048012363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner