JESSE BALLARD, FNP-C

Nurse Practitioner

Active Individual
NPI: 1629675699

Practice Address

1055 N 500 W STE 205
Provo, UT 84604

Phone: (801) 354-8225

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes AP61095878 (WA)
Nurse Practitioner - Family 363LF0000X No 11985380-4405 (UT)

Frequently Asked Questions

NPI 1629675699 is the National Provider Identifier for JESSE BALLARD, FNP-C, a Nurse Practitioner provider located in Provo, UT. This NPI was enumerated on October 2, 2020.
JESSE BALLARD, FNP-C practices at 1055 N 500 W STE 205, Provo, UT 84604.

Quick Facts

NPI
1629675699
Type
Individual
Enumerated
Oct 2, 2020
Last Updated
Nov 4, 2024

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