Provider Demographics
NPI:1437631678
Name:JEAN BAPTISTE, RUCHAMA OSNE
Entity Type:Individual
Prefix:
First Name:RUCHAMA
Middle Name:OSNE
Last Name:JEAN BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 SUMMIT TRAIL CIR APT D
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4863
Mailing Address - Country:US
Mailing Address - Phone:561-236-7321
Mailing Address - Fax:
Practice Address - Street 1:1134 SUMMIT TRAIL CIR APT D
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4863
Practice Address - Country:US
Practice Address - Phone:561-236-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9345124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily