Provider Demographics
NPI:1326750480
Name:RAMEY, JORDYN (FNP)
Entity Type:Individual
Prefix:
First Name:JORDYN
Middle Name:
Last Name:RAMEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAQUANN
Other - Middle Name:
Other - Last Name:MCLEOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6655 LA PRAIX ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-2684
Mailing Address - Country:US
Mailing Address - Phone:909-654-8075
Mailing Address - Fax:
Practice Address - Street 1:3975 JACKSON ST STE 110
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3946
Practice Address - Country:US
Practice Address - Phone:951-351-1071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily