Provider Demographics
NPI:1649825829
Name:RAMSEY, LAKITA MAE (NP-C)
Entity type:Individual
Prefix:
First Name:LAKITA
Middle Name:MAE
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LAKITA
Other - Middle Name:MAE
Other - Last Name:STANDIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAIDEN NAME
Mailing Address - Street 1:4945 TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-0648
Mailing Address - Country:US
Mailing Address - Phone:423-736-2426
Mailing Address - Fax:
Practice Address - Street 1:902 BUCHANAN RD
Practice Address - Street 2:
Practice Address - City:NEW TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37825-7410
Practice Address - Country:US
Practice Address - Phone:731-394-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26335363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology