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Individual

MS. JENNIFER BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
79 CANARAS AVE, SARANAC LAKE, NY 12983-1590
(518) 897-1551
Mailing address
79 CANARAS AVE, SARANAC LAKE, NY 12983-1590
(518) 897-1551

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
798257
NY

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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