Individual
JENNIFER BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8280 PRINCETON SQUARE BLVD W STE 3, JACKSONVILLE, FL 32256-0362
(904) 647-1849
Mailing address
8280 PRINCETON SQUARE BLVD W STE 3, JACKSONVILLE, FL 32256-0362
(904) 647-1849
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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