Nancy Ballard, ARNP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · New Smyrna Beach, FL
NPI 1780669663 · NPPES record last updated Nov 12, 2012
Key facts
- NPI
- 1780669663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 2993652 (FL)
- Practice address
- 603 S Orange Street
New Smyrna Beach, FL 32168-7320 - Phone
- (386) 423-0333
- Fax
- (386) 423-0042
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2993652 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Medical Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 2993652 | FL | Yes |
Addresses
Primary practice location
603 S Orange Street
New Smyrna Beach, FL 32168-7320
Mailing address
603 S Orange St
New Smyrna Beach, FL 32168-7320
Phone (386) 423-3303
Other providers in New Smyrna Beach, FL
- Ramona Bacon
- Joyce A Baker
- Matthew Tsampico Baker
- Pamela Sue Baker
- Madison Nicole Balbirer
- Nela F Ballesteros Moyano
- Laura Renninger Ballew
- Khalid Bin Ahmed Baosman
- Alexa Lee Barnett
- Kristine Bartholdson
All providers in New Smyrna Beach, FL · Obstetrics & Gynecology Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2012. 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.