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Contact Information

TINA N BALLARD, ACNP-BC
811 COX RD
GASTONIA, NC28054-3453
 Phone: 704-852-3888
 Fax: 704-852-4456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TINA N BALLARD · (Female)

NPI Number 1871965988
Status Active
Credentials ACNP-BC (Acute Care Nurse Practitioner - Board Certified)
Entity Individual
Enumeration date 10/28/2015
Last updated 10/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 139821
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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