Individual
MS. CASSILLY BALLARD BESTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 NICHOLASVILLE RD, LEXINGTON, KY 40503-1463
(859) 260-6460
Mailing address
PO BOX 910082, LEXINGTON, KY 40591-0082
(859) 260-6460
(859) 278-0260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3013767
KY BOARD OF NURSING APRN LICENSE
KY
01
—
F08190602
AMERICAN ACADEMY OF NURSE PRACTITIONERS (AANP) CERTIFICATION BOARD
KY
Enumeration date
10/14/2019
Last updated
10/18/2019
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