Individual
CAROLYN KAY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2305 OLD COUNTY RD, POCAHONTAS, AR 72455-4148
(870) 892-1005
(870) 892-0078
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R080296
AR
163W00000X
Registered Nurse
R80296
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169879795
—
AR
Enumeration date
05/19/2008
Last updated
11/03/2016
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