Provider Demographics
NPI:1447300801
Name:RAMSEY, JUDITH ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANNE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 E. WASHINGTON BLVD.
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531
Mailing Address - Country:US
Mailing Address - Phone:707-460-1802
Mailing Address - Fax:833-916-2036
Practice Address - Street 1:785 E. WASHINGTON BLVD.
Practice Address - Street 2:SUITE 8
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531
Practice Address - Country:US
Practice Address - Phone:707-460-1802
Practice Address - Fax:833-916-2036
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF6137363L00000X
CANP6137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR22473Medicare UPIN
CAZZZ34906ZMedicare ID - Type Unspecified