Individual
MRS. DEANNA DANELL BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Mailing address
115 TANGLEWOOD RD, NATCHEZ, MS 39120-4525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R691941
MS
363LF0000X
Family Nurse Practitioner
RN066376 APO4870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06809362
—
MS
05
—
1529052
—
LA
Enumeration date
10/27/2006
Last updated
03/26/2013
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