Provider Demographics
NPI:1043704851
Name:RAMOS, JESSICA MARITZA (DNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MARITZA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DNP
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Mailing Address - Street 1:544 COON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RIEGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18077-9718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:169 MADISON AVE STE 2817
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5101
Practice Address - Country:US
Practice Address - Phone:888-553-2823
Practice Address - Fax:888-553-2823
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2024-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031811363LF0000X
MI4704415293363LF0000X
AZ308822363LF0000X
IL209030126363LF0000X
IN71012687A363LF0000X
MARN2363439363LF0000X
NE115352363LF0000X
NJ26NJ00884400363LF0000X
NY347830363LF0000X
OHAPRN.CNP.0031065363LF0000X
VA0024184568363LF0000X
WAAP61570928363LF0000X
NJ26NR13584600163WE0003X
CT10259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1043704851Medicaid
MA110189175AMedicaid
VA30017823250001Medicaid
NE10028954400Medicaid
NY06684197Medicaid
IN300067472Medicaid
OH0481734Medicaid