Destiny Ann Ballew, RN

NPI #1861013799 in Clinton, Tennessee

Provider Information

NPI Number: 1861013799
Entity Type: Individual
Name: Destiny Ann Ballew, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: May 1, 2020
Last Updated: May 1, 2020

Practice Location

Address: 139 OZELLA LN
City: Clinton
State: Tennessee
ZIP Code: 37716-6224
Phone: (865) 898-4475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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