Loretta Ann Ball, NURSE PRACTITIONER

Individual provider Active NPI Family Nurse Practitioner · Jasper, IN

NPI 1952510331 · NPPES record last updated May 26, 2022

Key facts

NPI
1952510331
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
71008841A (IN)
Practice address
819 Wernsing Rd
Jasper, IN 47546-8141
Phone
(877) 291-6488
NPI assigned
May 22, 2007
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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008841AINMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9684 CA
Family Nurse Practitioner 363LF0000X 71008841A IN Yes

Addresses

Primary practice location

819 Wernsing Rd
Jasper, IN 47546-8141

Mailing address

PO Box 719
Santa Claus, IN 47579-0719
Phone (310) 951-5115

Other providers in Jasper, IN

All providers in Jasper, IN · Family Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.