Provider Demographics
NPI:1619260858
Name:RAMAGE, JESSICA MEGAN (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MEGAN
Last Name:RAMAGE
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 MCKINLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1743
Mailing Address - Country:US
Mailing Address - Phone:716-359-1686
Mailing Address - Fax:
Practice Address - Street 1:608 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206
Practice Address - Country:US
Practice Address - Phone:716-359-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY619188163W00000X
NY421035363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161506233OtherTAX ID