Individual
VANESSA BALLARD
Active
Individual
VANESSA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126004338
VA
2255A2300X
Athletic Trainer
A0001754
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R274119
MD
Other
Enumeration date
11/02/2016
Last updated
08/12/2025
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