MR. CLIFFORD EUGENE BAKER NP NPI 1104928605

NPI Information

  • NPI: 1104928605
  • Provider Name: MR. CLIFFORD EUGENE BAKER, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 11240 HIGHWAY 49
    STE 300
    GULFPORT, MS
    ZIP 39503
  • Phone: (228) 284-4342

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NPI Details

MR. Clifford Eugene Baker, NP is a family nurse practitioner in Gulfport, MS. MR. Clifford Eugene Baker, NP NPI is 1104928605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11240 HIGHWAY 49
STE 300
GULFPORT, MS
ZIP 39503-151
Phone: (228) 284-4342
Fax: (228) 284-4345

The enumeration date for this NPI number is 9/4/2006 and was last updated on 10/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice MidwifeNo
2363LF0000XNurse PractitionerFamilyR690392MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R35171MEDICARE UPIN
2500000586MEDICARE ID-TYPE UNSPECIFIED
30116632MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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