Provider Demographics
NPI:1295320059
Name:RAMEY, FEYISETAN REBECCA (CNP, APRN)
Entity type:Individual
Prefix:DR
First Name:FEYISETAN
Middle Name:REBECCA
Last Name:RAMEY
Suffix:
Gender:F
Credentials:CNP, APRN
Other - Prefix:
Other - First Name:FEYISETAN
Other - Middle Name:REBECCA
Other - Last Name:IDOWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, PMHNP-BC, APRN
Mailing Address - Street 1:1419 HANCOCK ST STE 200
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5250
Mailing Address - Country:US
Mailing Address - Phone:617-770-9690
Mailing Address - Fax:
Practice Address - Street 1:1419 HANCOCK ST STE 200
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5250
Practice Address - Country:US
Practice Address - Phone:617-770-9690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2312541363LP0808X, 363L00000X
MA2312541363LP0808X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner