Provider Demographics
NPI:1043720915
Name:RAMOS, JO ANNA (NP-C)
Entity Type:Individual
Prefix:
First Name:JO ANNA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17503 LA CANTERA PKWY # 104-409
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-8207
Mailing Address - Country:US
Mailing Address - Phone:210-300-6907
Mailing Address - Fax:210-579-6710
Practice Address - Street 1:19338 BABCOCK RD STE 108-109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2478
Practice Address - Country:US
Practice Address - Phone:210-988-0405
Practice Address - Fax:210-855-2340
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135345363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP135345OtherNP LICENSE