Provider Demographics
NPI:1750172359
Name:JEAN-BAPTISTE, TAMERA NATASHA
Entity type:Individual
Prefix:
First Name:TAMERA
Middle Name:NATASHA
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 1:4001 ESTATE SAINT JOHN
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4410
Mailing Address - Country:US
Mailing Address - Phone:352-665-1403
Mailing Address - Fax:
Practice Address - Street 1:4001 ESTATE SAINT JOHN
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4410
Practice Address - Country:US
Practice Address - Phone:352-665-1403
Practice Address - Fax:352-665-1403
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI13836163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse