Healthcare Provider Details

I. General information

NPI: 1619260858
Provider Name (Legal Business Name): JESSICA MEGAN RAMAGE WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2011
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 WILLIAM ST
BUFFALO NY
14206
US

IV. Provider business mailing address

508 MCKINLEY PKWY
BUFFALO NY
14220-1743
US

V. Phone/Fax

Practice location:
  • Phone: 716-359-1686
  • Fax:
Mailing address:
  • Phone: 716-858-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number619188
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421035
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: