| NPI | 1639418239 | 
|---|---|
| Other Name | JACKIE A BALARBAR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F1012339)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 777072)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP123129)  | |
| Enumeration Date | 2013-02-04 | 
| Last Update Date | 2022-11-17 |