Individual
MRS. SHELLY BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
Mailing address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95961
OK
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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