Provider Demographics
NPI:1538429766
Name:BAKER, SHERITA BENNETT (MSN, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHERITA
Middle Name:BENNETT
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 VALLEY RILL RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1957
Mailing Address - Country:US
Mailing Address - Phone:864-238-4723
Mailing Address - Fax:
Practice Address - Street 1:14825 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:864-238-4723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
TXAP129749363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator