Baxter, Jo Anne L

Baxter, Jo Anne L is an individual health care provider with primary practice located at 12662 Telecom Dr , Temple Terrace FL 33637-0935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baxter, Jo Anne L can be contacted via phone (813) 910-8708.

Contact Information

Primary practice address
12662 Telecom Dr Temple Terrace FL 33637-0935
Fax: (855) 852-7153
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP494972 Florida

Profile Details

NPI number 1811990070
LBN Legal business name Baxter, Jo Anne L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 25th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990070 NPPES
Florida MEDICAID 306918400

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