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Individual
JILL C. BALLENGER
Active
Individual
JILL C. BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00107900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
LB-0000193
DE
Other
Enumeration date
06/22/2006
Last updated
06/02/2011
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