Healthcare Provider Details

I. General information

NPI: 1730404195
Provider Name (Legal Business Name): STEPHANIE JONES RAMSEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 W KING ST
KINGS MTN NC
28086-2748
US

IV. Provider business mailing address

200 S POST RD
SHELBY NC
28152-6269
US

V. Phone/Fax

Practice location:
  • Phone: 704-480-9344
  • Fax: 704-484-3260
Mailing address:
  • Phone: 704-480-9344
  • Fax: 704-484-3260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number164942
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: