Provider Demographics
NPI:1356905665
Name:RAMOS, YESENIA (DNP)
Entity type:Individual
Prefix:MS
First Name:YESENIA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 AIRPORT RD STE D
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4025
Mailing Address - Country:US
Mailing Address - Phone:850-273-8072
Mailing Address - Fax:850-353-7006
Practice Address - Street 1:508 AIRPORT RD STE D
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4025
Practice Address - Country:US
Practice Address - Phone:850-273-8072
Practice Address - Fax:850-353-7006
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001433363LF0000X
FLAPRN11001433363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11001433OtherOTHER INS COMPANY