Individual
STACEY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5098 WASHINGTON ST W STE 407, CHARLESTON, WV 25313-1561
(860) 788-6404
Mailing address
5098 WASHINGTON ST W STE 407, CHARLESTON, WV 25313-1561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81841
WV
Other
Enumeration date
12/12/2016
Last updated
03/11/2026
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