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Laura Margaret Ballard, APRN

Nurse Practitioner in West Memphis, AR. Individual provider (NPI-1).

NPI number1629620190
StatusActive
Last updated in NPPESJul 15, 2019

Details

NPI
1629620190
Entity type
Individual (NPI-1)
Name
Laura Margaret Ballard
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2019
Last updated
Jul 15, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · 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 codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner25853TNYes

Practice location

108 W Tyler Ave
West Memphis, AR 72301-4221

Phone 870-732-1191 · Fax 870-732-4091

Mailing address

108 W Tyler Ave
West Memphis, AR 72301-4221

Phone 870-732-1191 · Fax 870-732-4091

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in West Memphis, AR

All 8 Nurse Practitioner providers in West Memphis · All 851 providers in West Memphis

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