MR. CLIFFORD EUGENE BAKER NP NPI 1104928605

NPI Information

NPI: 1104928605
Provider Name: MR. CLIFFORD EUGENE BAKER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
11240 HIGHWAY 49
STE 300
GULFPORT, MS
ZIP 39503
Phone: (228) 284-4342
Get Directions

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
1	367A00000X	Advanced Practice Midwife				No
2	363LF0000X	Nurse Practitioner	Family	R690392	MISSISSIPPI	Yes

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
1	R35171	MEDICARE UPIN
2	500000586	MEDICARE ID-TYPE UNSPECIFIED
3	0116632	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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