ANTWAN LAJUNNE BAKER (NPI# 1295378313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295378313 |
| Entity Type | Individual |
| Full Name | ANTWAN LAJUNNE BAKER |
| Credential | AGACNP-BC |
| Practice Address |
865 S 1st St Jesup GA 31545-0210 |
| Mailing Address |
278 Amy Clegg Dr Gray GA 31032-4747 |
| Practice Telephone | 9124276811 |
| Mailing Telephone | 4789607232 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
NCO-000003 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
865 S 1ST ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578999 | Hospital Authority of Wayne County, Georgia | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2005-09-14 |
| 1205457264 | Beth A Lewis | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2020-04-30 |
| 1285285452 | Shamrock Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1811548084 | Wayne County Anesthesia Associates PC | Anesthesiology | 865 S 1st St, Jesup, GA 31545-0210 | 2019-09-27 |
| 1104280668 | Krystal V Garcia | Emergency Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2016-04-11 |
| 1649650656 | Wayne Memorial Hospital Pharmacy Retail | General Acute Care Hospital | 865 S 1st St, Jesup, GA 31545-0210 | 2015-06-04 |
| 1396140497 | Advanced Medical Resources of Wayne County, LLC | Internal Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2014-10-31 |
| 1073864625 | Elisha Marchette Dansby | Nurse Practitioner | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-23 |
| 1912256892 | Shenique Anderson | Family Medicine | 865 S 1st St, Jesup, GA 31545-0210 | 2012-09-06 |
| 1275703985 | Hospital Authority of Wayne County Georgia | Hospitalist | 865 S 1st St, Jesup, GA 31545-0210 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149534 | Ernestina Serwaa Bonsu | Clinical Nurse Specialist | 241 Oak Vista Ct, Lawrenceville, GA 30044-6721 | 2019-02-06 |
| 1740429760 | David Michael Bogle | Clinical Nurse Specialist | 800 Gunn Rd, Apt.928, Centerville, GA 31028-8556 | 2009-02-14 |
| 1376096222 | Chelsey Shaver | Clinical Nurse Specialist | 3320 Old Jefferson Rd Ste 200a, Athens, GA 30607-1478 | 2016-07-27 |
| 1578751038 | Lucynda R. Coker | Clinical Nurse Specialist | 95 Collier Rd Nw, Suite 2035, Atlanta, GA 30309-1796 | 2007-10-10 |
Please comment or provide details below to improve the information on ANTWAN LAJUNNE BAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.