Provider Demographics
NPI:1437504073
Name:THOMPSON, RAMONA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 N OCOEE ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-5088
Mailing Address - Country:US
Mailing Address - Phone:423-618-3030
Mailing Address - Fax:
Practice Address - Street 1:2825 WESTSIDE DR NW STE C
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3504
Practice Address - Country:US
Practice Address - Phone:423-614-3733
Practice Address - Fax:423-614-3738
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily