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Contact Information

MARTHA K BALLARD, FNP
1910 NONCONNAH BLVD
SUITE 120
MEMPHIS, TN38132-2113
 Phone: 901-448-2300
 Fax: 901-448-6657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARTHA K BALLARD · (Female)

NPI Number 1710163373
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/14/2008
Last updated 01/14/2008 - About 9 years ago
Sole proprietor 1 No
Identifiers
TN License # 11397
TN License # 137416
Medicare UPIN Q51901
Hospital affiliation(s) n/a
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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