Provider Demographics
NPI:1821875725
Name:CARPENTER, RAMONA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:BALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:120 DEXTER DR
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8420
Mailing Address - Country:US
Mailing Address - Phone:865-437-7291
Mailing Address - Fax:
Practice Address - Street 1:120 DEXTER DR
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8420
Practice Address - Country:US
Practice Address - Phone:865-437-7291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN146819163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse