Provider Demographics
NPI:1508458167
Name:RAMSEY, DEBRA JAN
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JAN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:J
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1102 EDGEDALE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:WV
Mailing Address - Zip Code:26170-1245
Mailing Address - Country:US
Mailing Address - Phone:304-481-2419
Mailing Address - Fax:
Practice Address - Street 1:1102 EDGEDALE DR
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:WV
Practice Address - Zip Code:26170-1245
Practice Address - Country:US
Practice Address - Phone:304-481-2419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0182309376J00000X
OH385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care