# JENNIFER E BALLARD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164498218
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD11509 | RI | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 01083060A | IN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 2019013060 | MO | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 231751 | MA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 58308 | AZ | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 64452 | CT | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | D79151 | MD | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD042914 | DC | — |
| 207VX0000X | Obstetrics Physician | 231751 | MA | — |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 10/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110077577A | — | MA |