Individual
JARED JOSEPH DONNELLAN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 COURT ST STE 203, PLYMOUTH, MA 02360-8328
(617) 934-6669
(617) 315-2290
Mailing address
80 PLYMOUTH ST, QUINCY, MA 02169-8922
(617) 934-6669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2304514
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2304514
MA
Other
Enumeration date
08/30/2017
Last updated
07/25/2025
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