Individual
TRACY MORRIS BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 LONG SHOALS RD, SUITE 310, ARDEN, NC 28704-8794
(828) 213-8235
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600021
NC
363LG0600X
Gerontology Nurse Practitioner
600021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861524449
—
NC
Enumeration date
03/10/2007
Last updated
08/23/2016
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