Individual
THANDIWE J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2555 S DIXIE DR STE 260A, DAYTON, OH 45409-1542
(937) 350-1640
(937) 530-4194
Mailing address
5676 BELLEFONTAINE RD, HUBER HEIGHTS, OH 45424-4135
(937) 813-0060
(937) 530-4194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0035847
OH
Other
Enumeration date
02/28/2024
Last updated
01/06/2026
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