Ballard, Andrew

Ballard, Andrew is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ballard, Andrew can be contacted via phone (662) 377-4394.

Contact Information

Primary practice address
830 S Gloster St Tupelo MS 38801-4934
Phone: (662) 377-4394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 901655 Mississippi

Profile Details

NPI number 1538775317
LBN Legal business name Ballard, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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