Individual
JANNI SHARI BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
149 STEPHENSON RD LOT 1, STEPHENSON, VA 22656-1757
(540) 247-8651
Mailing address
149 STEPHENSON RD LOT 1, STEPHENSON, VA 22656-1757
(540) 247-8651
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001148717
VA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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