Ballard, Jennel Olicia

Ballard, Jennel Olicia is an sole proprietor health care provider with primary practice located at 585 Ridge Rd , North Arlington NJ 07031-4823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ballard, Jennel Olicia can be contacted via phone (201) 997-0333.

Contact Information

Primary practice address
585 Ridge Rd North Arlington NJ 07031-4823
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01427800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 349250 New York

Profile Details

NPI number 1659092203
LBN Legal business name Ballard, Jennel Olicia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2022
Last updated Mar 9th, 2023 - about last year

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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