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Contact Information

CARL A BALLARD, FNP-C
2635 JOHNSON BOTTOM RD
DETROIT, AL35552-2731
 Phone: 205-495-0545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARL A BALLARD · (Male)

NPI Number 1386243574
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 10/20/2020
Last updated 10/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 904235
Hospital affiliation(s)
  • NORTH MISSISSIPPI MEDICAL CENTER - (Acute Care)
    830 S GLOSTER
    TUPELO, MS 38801
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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