JILL BALLANTINE

DUBUQUE, IA
NPI1073979555
Former NameJILL BOEHMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IA  H098201)
Enumeration Date2016-01-13
Last Update Date2016-01-13
Business Address
-- JILL BALLANTINE AGACNP
250 MERCY DR
DUBUQUE, IA 52001-7320
Phone number: 563-584-3226
Mailing Address
-- JILL BALLANTINE AGACNP
1500 ASSOCIATES DR
DUBUQUE, IA 52002-2201
Phone number: 563-584-4100
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