Ballard, Keli Wood

Ballard, Keli Wood is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. 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, Keli Wood can be contacted via phone (601) 415-0744.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 415-0744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R880004 Mississippi

Profile Details

NPI number 1174818389
LBN Legal business name Ballard, Keli Wood
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2011
Last updated Jun 15th, 2012 - about 13 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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