Jodi Baker
Individual provider Active NPI Registered Nurse · Madison, FL
NPI 1134536717 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1134536717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9338549 (FL)
- Practice address
- 218 SW Third Ave
Madison, FL 32340-1266 - Phone
- (850) 973-5000
- Fax
- (850) 973-5007
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9338549 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past |
Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9338549 | FL | Yes |
Addresses
Primary practice location
218 SW Third Ave
Madison, FL 32340-1266
Mailing address
218 SW Third Ave
Madison, FL 32340-1266
Phone (850) 973-5000
Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.