Jillian Ballister, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11035510 Issued in FL

Practice address

1204 NW 69TH Ter Ste B
Gainesville, FL 32605-3139

Phone

(352) 575-3600

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Psychiatric and Mental Health Services, LLC

  dba Evolution Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gainesville, FL
  • NPI 1972262699

  Psychiatric/Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1184442824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 NW 69TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053139",
            "telephone_number": "352-575-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 NW 69TH TER STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053139",
            "telephone_number": "352-575-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLISTER",
        "first_name": "JILLIAN",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11035510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmona Ball, DNP, APRN, FNP-C
• Carolyn Ballard
• Paula Ballard, PT
• Vicky J Ballard
• Briana Ballister, PHARMD
• Bernard H Ballou, MD
• Kalyani Nagaraj Ballur
• Dylan Jordan Baltar
• Caroline Baltrucki, OT
• Katherine Elizabeth Baltzelle

• Psychiatric/Mental Health Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.