Provider Demographics
NPI:1366027211
Name:RAMSEY, JEAN CAROLYN
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:CAROLYN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 TOWNE CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-5620
Mailing Address - Country:US
Mailing Address - Phone:517-487-9161
Mailing Address - Fax:517-487-9163
Practice Address - Street 1:3225 TOWNE CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-5620
Practice Address - Country:US
Practice Address - Phone:517-487-9161
Practice Address - Fax:517-487-9163
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303006760183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician