Individual
JORDAN LEIGH BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
654 23RD ST SE, PARIS, TX 75460-6236
(903) 706-1507
Mailing address
654 23RD ST SE, PARIS, TX 75460-6236
(903) 706-1507
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1005668
TX
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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