Ballouli, Jessica L

Ballouli, Jessica L is an individual health care provider with primary practice located at 300 Palmetto Health Pkwy Ste 300 , Columbia SC 29212-1763. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ballouli, Jessica L can be contacted via phone (803) 907-7700.

Contact Information

Primary practice address
300 Palmetto Health Pkwy Ste 300 Columbia SC 29212-1763
Fax: (803) 907-7309
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22973 South Carolina

Profile Details

NPI number 1689236465
LBN Legal business name Ballouli, Jessica L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Sep 30th, 2022 - about 3 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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