Individual provider · Type 1 NPI
Jessica Lynn Baxter, AGNP
Gerontology Nurse Practitioner · Phoenix, AZ
NPI number
1861323065
Active
Practice location
1111 E Mcdowell Rd
Phoenix, AZ 85006-2612
Mailing address
11225 E Ellis St
Mesa, AZ 85207-2269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 338404 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1861323065
Jessica Lynn Baxter, AGNP's National Provider Identifier is 1861323065, issued on May 27, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on May 27, 2026.