Provider Demographics
NPI:1518772417
Name:JEAN-BAPTISTE, NATHANIEL ALEXANDER
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:ALEXANDER
Last Name:JEAN-BAPTISTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:MINERVE
Other - Last Name:JEAN-BAPTISTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46131 VILLAGE GREEN LN APT A101
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48111-3126
Mailing Address - Country:US
Mailing Address - Phone:734-363-3277
Mailing Address - Fax:
Practice Address - Street 1:99 MANCHESTER PKWY APT 206
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3689
Practice Address - Country:US
Practice Address - Phone:734-363-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide