Healthcare Provider Details

I. General information

NPI: 1013806504
Provider Name (Legal Business Name): JOCELINE BAPTISTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6476 RACQUET CLUB DR
LAUDERHILL FL
33319-5022
US

IV. Provider business mailing address

6476 RACQUET CLUB DR
LAUDERHILL FL
33319-5022
US

V. Phone/Fax

Practice location:
  • Phone: 954-465-0399
  • Fax:
Mailing address:
  • Phone: 954-465-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberAPRN11040564
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberARNP10057993
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: