Individual
MR. ZACHARY THOMAS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, MS
Contact information
Practice address
6240 KARLSRIDGE DR, DAYTON, OH 45459-8402
(937) 694-4563
Mailing address
6240 KARLSRIDGE DR, DAYTON, OH 45459-8402
(937) 694-4563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 391021
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032677
OH
Other
Enumeration date
04/15/2017
Last updated
02/06/2023
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