Blake Elliott Ramsey, PMHNP-BC
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1982259784
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1982259784
- Entity type
- Individual (NPI-1)
- Name
- Blake Elliott Ramsey
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2019
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11006947 | FL | Yes |
| 2084P0805X | AP142483 | TX | ||
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP142483 | TX |
Practice location
5776 Saint Augustine RdJacksonville, FL 32207-8046
Phone 817-308-8047
Mailing address
301 Skyline DrSte 4
Lady Lake, FL 32159-4588
Phone 352-451-1521 · Fax 352-431-3173
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