Provider Demographics
NPI:1932849304
Name:JUSRAN, MUHAMAD RASYEED RAMADAN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MUHAMAD
Middle Name:RASYEED RAMADAN
Last Name:JUSRAN
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 SUNNY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4079
Mailing Address - Country:US
Mailing Address - Phone:909-560-3118
Mailing Address - Fax:
Practice Address - Street 1:6847 N CHESTNUT ST STE 200
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3929
Practice Address - Country:US
Practice Address - Phone:234-544-5935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily