Ballentine, Laurel L.

Ballentine, Laurel L. is an sole proprietor health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ballentine, Laurel L. can be contacted via phone (856) 342-2351.

Contact Information

Primary practice address
1 Cooper Plz Camden NJ 08103
Phone: (856) 342-2351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NJ00057400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NJ00057400 New Jersey

Profile Details

NPI number 1881634731
LBN Legal business name Ballentine, Laurel L.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Oct 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881634731 NPPES
New Jersey MEDICAID 0050253

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