Individual
TINA NIXON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456
Mailing address
811 COX RD, GASTONIA, NC 28054-3453
(704) 852-3888
(704) 852-4456
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
139821
NC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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