Provider Demographics
NPI:1356527667
Name:JEAN BAPTISTE, MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:JEAN BAPTISTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 ORBIT LANE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2801
Mailing Address - Country:US
Mailing Address - Phone:516-587-3480
Mailing Address - Fax:
Practice Address - Street 1:832 ORBIT LANE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2801
Practice Address - Country:US
Practice Address - Phone:516-587-3480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY475012163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health