| Cori Baker, NP | |
|
1913 Highway 394, Blountville, TN 37617-5349 | |
| (423) 662-7002 | |
| (423) 662-7003 |
| Full Name | Cori Baker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1913 Highway 394, Blountville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407571284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 32190 (Tennessee) | Primary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Cori Baker, NP 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002 | Cori Baker, NP 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002 |
Mrs. Kristina Ann Roark, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003 | |
Ashley Brooke Booher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394 Ste 2, Blountville, TN 37617 Phone: 423-662-6002 | |
Ms. Jennifer Jane Williams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Bypass, Blountville, TN 37617 Phone: 423-279-2638 Fax: 423-279-2727 | |
Leslie Sullins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 |