Individual
JANE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
135 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3798
Mailing address
6100 MILLIGAN RD, CASS CITY, MI 48726-9402
(989) 912-0661
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
4704354192
MI
363LF0000X
Family Nurse Practitioner
Primary
4704354192NSA240XD
MI
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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