Individual
JUDITH BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
530 E 34TH ST, 202, JOPLIN, MO 64804-3924
(417) 347-7520
Mailing address
530 E 34TH ST, 202, JOPLIN, MO 64804-3924
(417) 347-7520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
099111
MO
Other
Enumeration date
10/12/2006
Last updated
05/18/2011
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