Provider Demographics
NPI:1275068496
Name:RAMAGE, JILLIAN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:RAMAGE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:LEIGH
Other - Last Name:MESSINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2042 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5054
Mailing Address - Country:US
Mailing Address - Phone:631-384-1086
Mailing Address - Fax:
Practice Address - Street 1:2042 LOWELL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5054
Practice Address - Country:US
Practice Address - Phone:631-384-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0995176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily