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Individual

JENNEL OLICIA BALLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
700 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-3058
(551) 309-3555
Mailing address
585 RIDGE RD, NORTH ARLINGTON, NJ 07031-4823

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01427800
NJ
363LF0000X
Family Nurse Practitioner
349250
NY

Other

Enumeration date
09/12/2022
Last updated
01/07/2025
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