Individual
LEONORA M BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-2270
(856) 365-1180
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NJ00122700
NJ
363LA2200X
Adult Health Nurse Practitioner
TP005760C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136875
—
NJ
01
—
NO10080700
STATE LICENSE
NJ
Enumeration date
06/22/2006
Last updated
05/20/2019
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