Individual
LAURA MARGARET BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Mailing address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25853
TN
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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