Individual
ALTAGRACE JEAN BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 S 28TH ST, FORT PIERCE, FL 34947-6999
(772) 293-0770
Mailing address
5934 NW DOWELL CT, PORT ST LUCIE, FL 34986-3831
(772) 359-9187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11008785
FL
Other
Enumeration date
09/01/2020
Last updated
03/31/2021
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