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Individual

HEATHER BALLEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-NNP

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-2970
Mailing address
510 CAROLINA BAY DR, WILMINGTON, NC 28403-2041
(910) 612-6932

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013816
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
APN.0993346-NP
CO
390200000X
Student in an Organized Health Care Education/Training Program
CO

Other

Enumeration date
08/09/2017
Last updated
02/04/2026
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