Provider Demographics
NPI:1255806527
Name:RAMOS, RACHEL NICOLE (AGNP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:NICOLE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
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Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:615-314-5257
Mailing Address - Fax:
Practice Address - Street 1:9150 OVERLAND PLZ
Practice Address - Street 2:
Practice Address - City:OVERLAND
Practice Address - State:MO
Practice Address - Zip Code:63114-6123
Practice Address - Country:US
Practice Address - Phone:314-449-9633
Practice Address - Fax:314-949-3428
Is Sole Proprietor?:No
Enumeration Date:2018-10-12
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2018033942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420062322Medicaid