Krysinda Ballard, APRN, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Vernon, TX
NPI 1689498016 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1689498016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1176096 (TX)
- Practice address
- 4730 College Dr
Vernon, TX 76384-4009 - Phone
- (940) 552-9901
- NPI assigned
- Nov 12, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1176096 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1176096 | TX | Yes |
Addresses
Primary practice location
4730 College Dr
Vernon, TX 76384-4009
Mailing address
4730 College Dr
Vernon, TX 76384-4009
Other providers in Vernon, TX
- Adanna Juliet Amechi Obigwe
- Amerion Care LLC
- Francis Anwasi
- Apex Health Services
- Back in Balance
- Lexie Seedig Bardell
- Nancy E. Barrow
- Adam Bayer
- Baylor County Hospital District
- BBWK Enterprises, LLC
All providers in Vernon, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. 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.