Ballard, Shanickqua
Ballard, Shanickqua is an individual health care provider with primary practice located at 811 E City Hall Ave , Norfolk VA 23510-2714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ballard, Shanickqua can be contacted via phone (718) 664-4963.Contact Information
Primary practice address
811 E City Hall Ave
Norfolk VA 23510-2714
Phone: (718) 664-4963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024190636 | Virginia |
Profile Details
| NPI number | 1588401103 |
|---|---|
| LBN Legal business name | Ballard, Shanickqua |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2024 |
| Last updated | Jul 10th, 2024 - 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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