Jesse Ballard, FNP-C
NPI #1629675699 in Provo, Utah
Provider Information
- NPI Number
- 1629675699
- Entity Type
- Individual
- Name
- Jesse Ballard, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-C
- Enumeration Date
- Oct 2, 2020
- Last Updated
- Nov 4, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
Additional Practice Locations
1410 N Samantha Rd
Liberty Lake, WA, 99019-8626
(801) 441-9534
700 W Ironwood Dr Ste 120
Coeur D Alene, ID, 83814-4405
(208) 625-3640
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