Bret Ballard, NP
Nurse Practitioner, Family in Amory, MS. Individual provider (NPI-1).
NPI number1376564799
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1376564799
- Entity type
- Individual (NPI-1)
- Name
- Bret Ballard
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- May 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R815978 | MS | Yes |
Practice location
906 Highway 278 EAmory, MS 38821-5511
Phone 662-256-5612 · Fax 662-256-5264
Mailing address
906 Highway 278 EAmory, MS 38821-5511
Phone 662-256-5612 · Fax 662-256-5264
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