Individual provider · NPI-1

Leonora M Ball, APN-C

Nurse Practitioner · Camden, NJ

NPI number1164468476
StatusActive
Last updated in NPPESMay 20, 2019

Details

NPI
1164468476
Entity type
Individual (NPI-1)
Name
Leonora M Ball
Credential
APN-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2006
Last updated
May 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerNJ00122700NJYes
363LA2200X Nurse Practitioner, Adult HealthTP005760CPA

Other names

  • Leonora M Nieves (Former Name)

Practice location

3 Cooper Plz
Suite 411
Camden, NJ 08103-1438

Phone 856-342-2270 · Fax 856-365-1180

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088

Phone 856-356-4924

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