Denise D Gates-Baker, RN

Individual provider Active NPI Ambulatory Care Registered Nurse · Rex, GA

NPI 1922769090 · NPPES record last updated Dec 31, 2021

Key facts

NPI
1922769090
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
RN113876 (GA)
Practice address
5796 Jubilant Dr
Rex, GA 30273-1578
Phone
(678) 641-3497
Fax
(404) 489-6817
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN113876GAMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN113876 GA Yes

Addresses

Primary practice location

5796 Jubilant Dr
Rex, GA 30273-1578

Mailing address

5796 Jubilant Dr
Rex, GA 30273-1578
Phone (678) 834-5396

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ddgatesbaker@gmh.edu Health Information Exchange (HIE)

Other providers in Rex, GA

All providers in Rex, GA · Ambulatory Care Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.