Provider Demographics
NPI:1114717352
Name:JEAN BAPTISTE, MISLANDE
Entity type:Individual
Prefix:
First Name:MISLANDE
Middle Name:
Last Name:JEAN BAPTISTE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 KNIGHTSBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-4395
Mailing Address - Country:US
Mailing Address - Phone:770-865-8467
Mailing Address - Fax:
Practice Address - Street 1:515 KNIGHTSBRIDGE LN
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-4395
Practice Address - Country:US
Practice Address - Phone:770-865-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No174H00000XOther Service ProvidersHealth Educator
No291U00000XLaboratoriesClinical Medical Laboratory
No374U00000XNursing Service Related ProvidersHome Health Aide
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy