Individual
MISS HOPE ALLYSON BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
1233 WEST POPLAR STREET, ROGERS, AR 72756-4245
(479) 636-9235
(479) 631-0374
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
M02110 CNM
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178530799
—
AR
Enumeration date
11/12/2008
Last updated
11/08/2011
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