Healthcare Provider Details

I. General information

NPI: 1851867766
Provider Name (Legal Business Name): CHANTAL P BAPTISTE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 N DON WICKHAM DR # B
CLERMONT FL
34711-1922
US

IV. Provider business mailing address

2140 N DON WICKHAM DR # B
CLERMONT FL
34711-1922
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-5922
  • Fax:
Mailing address:
  • Phone: 352-394-5922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2219852
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2219852
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number314502
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: