Provider Demographics
NPI:1225670037
Name:FLAGLER, RAMONICA (NP)
Entity Type:Individual
Prefix:
First Name:RAMONICA
Middle Name:
Last Name:FLAGLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 754
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32178-0754
Mailing Address - Country:US
Mailing Address - Phone:904-377-0996
Mailing Address - Fax:
Practice Address - Street 1:702 N 19TH ST
Practice Address - Street 2:STE 5
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-3063
Practice Address - Country:US
Practice Address - Phone:904-512-5544
Practice Address - Fax:904-289-4544
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAG04190074363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health