Individual provider · Type 1 NPI
Jody Milford Baham, FNP-BC
Family Nurse Practitioner · Pooler, GA
NPI number
1699545822
Active
Practice location
138 Canal St Ste 201
Pooler, GA 31322-4047
Fax (912) 348-2669
Mailing address
413 Gravel Way
Bloomingdale, GA 31302-8120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN287159 (GA) |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | RN287159 (GA) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | RN287159 (GA) |
| Pain Clinic/Center | 261QP3300X | RN287159 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1699545822
Jody Milford Baham, FNP-BC's National Provider Identifier is 1699545822, issued on Jan 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pooler, GA. The record was last updated on Oct 9, 2025.