Individual
BETHANY P BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 FOUNTAINS BLVD STE 1, MADISON, MS 39110-6317
(601) 499-1105
Mailing address
1 MILLER PKWY APT 7206, JACKSON, MS 39211-1854
(662) 803-0196
(615) 334-0896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905499
MS
Other
Enumeration date
08/30/2022
Last updated
02/02/2026
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