Provider Demographics
NPI:1386456929
Name:RAMIREZ, COLLEEN FLORES (RN)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:FLORES
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:CELEDONIO
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:14 ASHBERRY LN
Mailing Address - Street 2:
Mailing Address - City:THREE WAY
Mailing Address - State:TN
Mailing Address - Zip Code:38343-8665
Mailing Address - Country:US
Mailing Address - Phone:731-618-6638
Mailing Address - Fax:
Practice Address - Street 1:620 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3923
Practice Address - Country:US
Practice Address - Phone:731-437-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN284079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse