Provider Demographics
NPI:1972966760
Name:BAKER, LINDSAY MARIE (AGACNP-BC)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MARIE
Last Name:BAKER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 DRESDEN DR NE
Mailing Address - Street 2:APT 2264
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3400
Mailing Address - Country:US
Mailing Address - Phone:770-827-8604
Mailing Address - Fax:
Practice Address - Street 1:1377 DRESDEN DR NE
Practice Address - Street 2:APT 2264
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-3400
Practice Address - Country:US
Practice Address - Phone:770-827-8604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN203735363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care