Individual
BLAKE ELLIOTT RAMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8046
(817) 308-8047
Mailing address
301 SKYLINE DR, STE 4, LADY LAKE, FL 32159-4588
(352) 451-1521
(352) 431-3173
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
AP142483
TX
363L00000X
Nurse Practitioner
Primary
APRN11006947
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP142483
TX
Other
Enumeration date
08/08/2019
Last updated
04/06/2021
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