Healthcare Provider Details

I. General information

NPI: 1336519776
Provider Name (Legal Business Name): LA'QUANDRA ANN-MARIE RAMPERSANT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: QUANDRA RAMPERSANT DNP, FNP-C, PMHNP-BC

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CALHOUN ST
CHARLESTON SC
29401-1113
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-724-2498
  • Fax: 843-724-2707
Mailing address:
  • Phone: 888-472-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number19755
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number19755
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number2023102598
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19755
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: