Individual
JOHN DAVID BALOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 443-2531
(615) 443-2524
Mailing address
649A HARRIS LN, GALLATIN, TN 37066-8513
(615) 339-4249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14661
TN
Other
Enumeration date
12/18/2009
Last updated
12/09/2016
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