Individual
SARAH BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
2969 CURRAN DR N STE 200, JACKSON, MS 39216
(601) 974-5600
(601) 974-5699
Mailing address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 974-5637
(601) 974-5605
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
902023
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902023
STATE LICENSE
MS
Enumeration date
08/08/2017
Last updated
04/27/2022
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