Individual
DR. JESSICA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665
(757) 764-8290
Mailing address
77 NEALY AVENUE, JOINT BASE LANGLEY-EUSTIS, VA 23665
(757) 764-8290
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN185372
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
AP8891
AZ
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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