Provider Demographics
NPI:1811676869
Name:BAKER, MELISSA LYNNE (MSN, APRN, PMHNP-BC)
Entity type:Individual
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First Name:MELISSA
Middle Name:LYNNE
Last Name:BAKER
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Gender:F
Credentials:MSN, APRN, PMHNP-BC
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Mailing Address - Street 1:669 AIRPORT FWY STE 309
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-3984
Mailing Address - Country:US
Mailing Address - Phone:817-222-9907
Mailing Address - Fax:817-222-9909
Practice Address - Street 1:669 AIRPORT FWY STE 309
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-3984
Practice Address - Country:US
Practice Address - Phone:817-222-9907
Practice Address - Fax:817-222-9909
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX11289932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry