Provider Demographics
NPI:1467210732
Name:BATISTE, ALEXIS NICHOLE (APRN AGNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:NICHOLE
Last Name:BATISTE
Suffix:
Gender:F
Credentials:APRN AGNP-C
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Other - Middle Name:
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Mailing Address - Street 1:3401 N ELM AVE APT 115
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-1384
Mailing Address - Country:US
Mailing Address - Phone:918-695-1497
Mailing Address - Fax:
Practice Address - Street 1:3401 N ELM AVE APT 115
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1384
Practice Address - Country:US
Practice Address - Phone:918-695-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK217121363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology