SHANNON L BALLARD

TUPELO, MS
NPI1275836991
Former NameSHANNON MOBLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R870654)
Enumeration Date2010-12-20
Last Update Date2011-02-21
Business Address
-- SHANNON L BALLARD NP
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 800-893-9698
Mailing Address
-- SHANNON L BALLARD NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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