Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nour Jamal Baba

Individual provider Physician Assistant · NPI 1558177394

Nour Jamal Baba is a Physician Assistant in Bradenton, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

3934 E State Road 64
Bradenton, FL 34208-9059
Phone: (941) 777-5665
Fax: (941) 200-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558177394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address3934 E State Road 64, Bradenton, FL 34208-9059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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