Provider Demographics
NPI:1609626415
Name:RAMEY, JESSEE LEI RUSSALL
Entity Type:Individual
Prefix:
First Name:JESSEE
Middle Name:LEI RUSSALL
Last Name:RAMEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FRIEND ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:45339-5027
Mailing Address - Country:US
Mailing Address - Phone:937-703-2908
Mailing Address - Fax:
Practice Address - Street 1:216 FRIEND ST
Practice Address - Street 2:
Practice Address - City:LUDLOW FALLS
Practice Address - State:OH
Practice Address - Zip Code:45339-5027
Practice Address - Country:US
Practice Address - Phone:937-703-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant