Provider Demographics
NPI:1518713528
Name:RAMOS, JOVANA RUBY
Entity type:Individual
Prefix:
First Name:JOVANA
Middle Name:RUBY
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 LEADERSHIP PKWY UNIT 22102
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2196
Mailing Address - Country:US
Mailing Address - Phone:775-378-3978
Mailing Address - Fax:
Practice Address - Street 1:3030 LEADERSHIP PKWY UNIT 22102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2196
Practice Address - Country:US
Practice Address - Phone:775-378-3978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant