Shonve Ball, FNP
Nurse Practitioner, Family in Pontotoc, MS. Individual provider (NPI-1).
NPI number1104200682
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1104200682
- Entity type
- Individual (NPI-1)
- Name
- Shonve Ball
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2015
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R856364 | MS | Yes |
Practice location
166 Rough Wood DrPontotoc, MS 38863-6076
Phone 662-509-0180
Mailing address
166 Rough Wood DrPontotoc, MS 38863-6076
Phone 662-509-0180
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