Individual
TEIGE JEANETTE BALLWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 841-7290
(407) 636-7800
Mailing address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 841-7290
(407) 636-7800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008521
FL
363LF0000X
Family Nurse Practitioner
APRN11008521
FL
Other
Enumeration date
08/07/2020
Last updated
01/07/2025
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