Carolyn Ballard RN

NPI 1134386162 - Registered Nurse - 163W00000X

NPI Details
NPI 1134386162
Gender Female
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2109 OLD COUNTY RD
POCAHONTAS AR, 72455-4137, US
Phone (870) 892-1005
Fax (870) 892-0078
Business Location
4508 STADIUM BLVD
JONESBORO AR, 72404-9675, US
Phone (870) 933-6886
Fax (870) 933-9395
Toxanomy
Taxonomy Code 163W00000X
License State Arkansas
License Number R80296
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According to our database, Carolyn Ballard RN NPI is 1134386162, taxonomy code is 163W00000X and license number is R80296, license state is located at Arkansas. Carolyn Ballard RN physically located at 2109 Old County Rd, Pocahontas AR, 72455-4137. NPI Number Carolyn Ballard RN has the Individual type.

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1134386162 NPI number is provided on an as is basis without warranty of any kind. 1134386162 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Ballard RN are for informational purposes only.