| Amanda Baker, P.a. | |
|
408 S Main St Jonesboro AR 72401-2963 | |
| (870) 336-7526 | |
| Not Available |
| Full Name | Amanda Baker, P.a. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 408 S Main St, Jonesboro, Arkansas |
| Authorized Official Name and Position | Amanda Baker (PRESIDENT) |
| Authorized Official Contact | 8703367526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Baker, P.a. 408 S Main St Jonesboro AR 72401-2963 Ph: (870) 336-7526 | Amanda Baker, P.a. 408 S Main St Jonesboro AR 72401-2963 Ph: (870) 336-7526 |
| NPI Number | 1396095741 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396095741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | P1112094 (Arkansas) | Primary |
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