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ELISSANDER JEAN BAPTISTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-C

Contact information

Practice address
3350 W END AVE APT 3, TREVOSE, PA 19053-6228
(862) 224-7799
Mailing address
3350 W END AVE APT 3, TREVOSE, PA 19053-6228
(862) 224-7799

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031535
PA

Other

Enumeration date
12/28/2024
Last updated
12/28/2024
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