Individual
VALERIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 KIRBY PKWY, MEMPHIS, TN 38120-4398
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187-1306
(901) 725-5846
(901) 726-4827
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
65072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07388787
—
MS
05
—
3632255
—
TN
01
—
4046837
BLUE CROSS
TN
Enumeration date
05/19/2006
Last updated
08/28/2007
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