Provider Demographics
NPI:1891306353
Name:RAMSEY, JACQUELINE (MA, MHP)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MA, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 GEORGIA ST APT B
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-6605
Mailing Address - Country:US
Mailing Address - Phone:318-608-0273
Mailing Address - Fax:
Practice Address - Street 1:305 GEORGIA ST APT B
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-6605
Practice Address - Country:US
Practice Address - Phone:318-608-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator