Individual
DR. JEANNE ELLEN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 781-4900
(317) 781-4868
Mailing address
620 SEAWARD DR, CHARLESTON, SC 29412-8942
(843) 261-4092
(317) 853-6198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01045341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099420A
—
IN
Enumeration date
05/24/2006
Last updated
10/29/2020
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