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Individual

ALEXIS WINGATE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
2021 HIKES LN, LOUISVILLE, KY 40218-4817
(502) 446-5555
(502) 394-3673
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 972-2214
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014291
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300036481
IN
05
7100655150
KY
Enumeration date
02/12/2020
Last updated
01/30/2026
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