MR. CLIFFORD EUGENE BAKER NP
NPI 1104928605
Nurse Practitioner - Family in Gulfport, MS

Active since September 04, 2006
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503(228) 284-4342(228) 284-4345 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clifford Eugene Baker Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLIFFORD EUGENE BAKER NP (NPI 1104928605) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (R690392) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104928605
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CLIFFORD EUGENE BAKERCredential: NP
Location Address11240 HIGHWAY 49, STE 300Gulfport, MS 39503-4151
Mailing Address11240 Highway 49, Ste 300Gulfport, MS 39503-4151 · (228) 284-4342 · Fax (228) 284-4345
Fax(228) 284-4345
Sole ProprietorNo
Enumeration DateSeptember 4, 2006
Last NPPES UpdateOctober 26, 2015
NPI 1104928605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R690392
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
11240 HIGHWAY 49, Gulfport, MS 39503

Other Identifiers 3

Medicare UPINR35171
Medicare ID-Type Unspecified500000586
Medicaid0116632MS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503
Specialist
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503
Nurse Practitioner
11240 HIGHWAY 49, STE 300
GULFPORT, MS 39503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Baker's NPI number?

The NPI number for Clifford Baker is 1104928605. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Clifford Baker located?

Clifford Baker practices at 11240 Highway 49 Ste 300, Gulfport, MS 39503. The listed phone number is (228) 284-4342.

What is Clifford Baker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Clifford Baker was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.