Healthcare Provider Details

I. General information

NPI: 1164283420
Provider Name (Legal Business Name): JEAN RONY BATALIEN BC-PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 GLADES RD STE 324A
BOCA RATON FL
33431-8571
US

IV. Provider business mailing address

2255 GLADES RD STE 324A
BOCA RATON FL
33431-8571
US

V. Phone/Fax

Practice location:
  • Phone: 561-325-9307
  • Fax:
Mailing address:
  • Phone: 561-325-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11017697
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70025268
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0104669-C-NP
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024196907
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407262
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: