| NPI | 1659092203 |
|---|---|
| Other Name | JENNEL BALLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01427800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349250) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-03-09 |