Individual
STEPHANIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 748-7361
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
(573) 569-3591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007006580
MO
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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