Provider Demographics
NPI:1801203575
Name:RAMON, KERRY (FNP-C)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:RAMON
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 1:13830 SAWYER RANCH RD
Mailing Address - Street 2:STE 102
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5514
Mailing Address - Country:US
Mailing Address - Phone:512-301-6400
Mailing Address - Fax:512-301-6401
Practice Address - Street 1:13830 SAWYER RANCH RD
Practice Address - Street 2:STE 102
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5514
Practice Address - Country:US
Practice Address - Phone:512-301-6400
Practice Address - Fax:512-301-6401
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily