Sharon Ball, APNC
Individual provider Active NPI Nurse Practitioner · Herrin, IL
NPI 1528023496 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1528023496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209005527 (IL)
- Practice address
- 201 South 14TH St.
Herrin Hospital Respiratory Disease Clinic
Herrin, IL 62948 - Phone
- (618) 942-2171
- Fax
- (618) 351-4945
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209005527 | IL | Yes |
Addresses
Primary practice location
201 South 14TH St.
Herrin Hospital Respiratory Disease Clinic
Herrin, IL 62948
Mailing address
PO Box 577
Carterville, IL 62918-0577
Phone (618) 985-8221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370966854016 | Medicaid | IL | |
| CF3444 | Other | IL | MEDICARE RAILROAD GROUP |
Other providers in Herrin, IL
- Angela Marie Arnold
- Don Cassidy Arnold II
- Kimberly Kaye Asner-Self
- Mark Austin
- Stephanie Brooks Austin
- Lerin Banas
- Adam Vincent Barciszewski
- Roland J Barr
- James T Barron
- Mark Anthony Abel Basco
All providers in Herrin, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.