Shannon L Ballard, NP
NPI #1275836991 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1275836991
- Entity Type
- Individual
- Name
- Shannon L Ballard, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Dec 20, 2010
- Last Updated
- Feb 21, 2011
Practice Location
- Address
- 830 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4934
- Phone
- (800) 893-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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