Provider Demographics
NPI:1801000559
Name:RAMSEY, JULIE ANN (PAC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8527
Mailing Address - Country:US
Mailing Address - Phone:304-293-2311
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL DRIVE #9247
Practice Address - Street 2:STUDENT HEALTH CENTER RCB HSC
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:304-293-2311
Practice Address - Fax:304-293-2713
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-08-21
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-21
Provider Licenses
StateLicense IDTaxonomies
WV770363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant