Individual
TAMMY L BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2131 E STATE ST, ATHENS, OH 45701-2138
(855) 446-5937
(740) 589-3127
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 992-0060
(740) 446-5154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.09955
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000236211
OH MEDICAID UNISON
OH
01
—
2821263
OH MEDICAID MOLINA
OH
05
—
2821263
—
OH
01
—
310917085186
OH MEDICAID CARESOURCE
OH
05
—
3810011516
—
WV
Enumeration date
03/14/2008
Last updated
04/22/2025
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