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STEPHANIE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
(314) 268-7711
Mailing address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
(314) 268-7711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014042991
MO

Other

Enumeration date
04/02/2015
Last updated
04/02/2015
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