Provider Demographics
NPI:1962004044
Name:RAMSEY, JESSICA KRYSTLE (NP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:KRYSTLE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NEW WAVERLY PL STE 305
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7404
Mailing Address - Country:US
Mailing Address - Phone:919-954-7720
Mailing Address - Fax:199-547-7109
Practice Address - Street 1:600 NEW WAVERLY PL STE 305
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7404
Practice Address - Country:US
Practice Address - Phone:919-954-7720
Practice Address - Fax:919-954-7710
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC362342363LF0000X
MARN2298622363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2298622OtherNURSE PRACTITIONER