Female

Jenna K. Baker PA-C

Physician Assistant in Mocksville, NC(View on Map)

Full Name

Jenna Kay Baker PA-C

NPI Number

1679007066

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/12/2017

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

0010-07337

Contact
Information

Purpose

Mailing
Location

Address

154 GOVERNMENT PLAZA DRIVE
154 GOVERNMENT CENTER DR

City

Mocksville
Mocksville

State

NC
NC

Postal Code

27028
27028-6299

Country

US
US

Telephone Number

(336) 753-6500
(336) 753-6500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/01/2021

Provider Address

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