Healthcare Provider Details

I. General information

NPI: 1427477967
Provider Name (Legal Business Name): JESSICA RAMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 06/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 BELMONT AVE
PARSONS KS
67357-4229
US

IV. Provider business mailing address

1730 BELMONT AVE
PARSONS KS
67357-4229
US

V. Phone/Fax

Practice location:
  • Phone: 620-421-3770
  • Fax: 620-421-0665
Mailing address:
  • Phone: 620-421-3770
  • Fax: 620-421-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9217
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: