Harrison, Judy Baker

Harrison, Judy Baker is an individual health care provider with primary practice located at 820 Prudential Dr Suite 713, Jacksonville FL 32207-8210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Harrison, Judy Baker can be contacted via phone (904) 396-4369.

Contact Information

Primary practice address
820 Prudential Dr Suite 713 Jacksonville FL 32207-8210
Phone: (904) 396-4369
Fax: (904) 346-0864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME38728 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME38728 Florida

Profile Details

NPI number 1912974288
LBN Legal business name Harrison, Judy Baker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Apr 24th, 2008 - about 16 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 1912974288 NPPES
Florida MEDICAID 042178200
Florida Other 10985
Florida MEDICAID 000930256B

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