JADA LEE BAKKER CNP NPI 1689159667

NPI Information

NPI: 1689159667
Provider Name: JADA LEE BAKKER, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: AVERA MCKENNAN

PECOS Registration: Yes

Address:
1315 S CLIFF AVE STE 3000
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7600
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Jada Lee Bakker, CNP is a family nurse practitioner in Sioux Falls, SD with 6 years of experience. Jada Lee Bakker, CNP NPI is 1689159667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1315 S CLIFF AVE STE 3000
SIOUX FALLS, SD
ZIP 57105-061
Phone: (605) 322-7600

The NPI 1689159667 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2018 and was last updated on 9/26/2018.

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	363LF0000X	Nurse Practitioner	Family	CP001454	SOUTH DAKOTA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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