Provider Demographics
NPI:1407250111
Name:MULLEINS-FOREMAN, RAMONA JEAN (FNP)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:JEAN
Last Name:MULLEINS-FOREMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6932 ANTLER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-2502
Mailing Address - Country:US
Mailing Address - Phone:706-992-6940
Mailing Address - Fax:706-647-3861
Practice Address - Street 1:959 17TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1984
Practice Address - Country:US
Practice Address - Phone:706-992-6940
Practice Address - Fax:706-647-3861
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN153715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily