Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN0000018889 | TN |
NPI | 1003215039 |
---|---|
Provider Name | Amber Ramsey |
First Address | Johnson City, TN 37615-4998 |
Second Address | Johnson City, TN 37615-4998 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 21/04/2015 |