Individual
AMY PEDIGO BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21680 AL HIGHWAY 79, SCOTTSBORO, AL 35768-5904
(256) 587-3050
Mailing address
3202 PANORAMA DR SE, HUNTSVILLE, AL 35801-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-145081
AL
Other
Enumeration date
10/09/2017
Last updated
05/31/2019
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