SHANICKQUA BALLARD

CHESAPEAKE, VA
NPI1588401103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: VA  0024190636)
Enumeration Date2024-07-10
Last Update Date2024-10-07
Business Address
SHANICKQUA BALLARD NP
3925 PORTSMOUTH BLVD
CHESAPEAKE, VA 23321-3624
Phone number: 757-760-3035
Mailing Address
SHANICKQUA BALLARD NP
1108 MERCHANTS CT APT 3B
CHESAPEAKE, VA 23320-7417
Phone number: 718-404-3279
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