Individual
MR. JAMES TERRY BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1101 N CENTRAL AVE # 201, PHOENIX, AZ 85004-1808
(602) 344-6550
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP7090
AZ
Other
Enumeration date
11/24/2008
Last updated
08/26/2020
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