Antwan Lajunne Baker, AGACNP-BC

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

NCO-000003 Issued in GA

Practice address

865 S 1St St
Jesup, GA 31545-0210

Phone

(912) 427-6811

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1295378313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 AMY CLEGG DR",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310324747",
            "telephone_number": "478-960-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450210",
            "telephone_number": "912-427-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ANTWAN",
        "middle_name": "LAJUNNE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "GA",
            "license": "NCO-000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Applecare of Jesup LLC
• Amber Bartlett Aragon, M.D.
• Bolaji Aremu, PA-C
• Anthony Hugh Armstrong Jr., DMD
• Atlantic Medical Transports LLC
• Karen E. Bamberg, ANP-BC
• Kalli Mercedes Barber, NP-C
• Lesleigh Dee Beard, FNP-BC, FNP-C
• Allison Brynn Bennett
• Tammy D Bibens, RBT

• Acute Care Clinical Nurse Specialist in Jesup, GA
• Providers in Jesup, GA by specialty
• Acute Care Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.