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 Date2025-05-21
Business Address
SHANICKQUA BALLARD NP
200 CARMICHAEL WAY STE 606
CHESAPEAKE, VA 23322-2489
Phone number: 757-401-4163
Mailing Address
SHANICKQUA BALLARD NP
1108 MERCHANTS CT APT 3B
CHESAPEAKE, VA 23320-7417
Phone number: 718-404-3279
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