Christen Ballou, RN, CPNP-PC
Nurse Practitioner, Pediatrics in Brooklyn, NY. Individual provider (NPI-1).
NPI number1922409192
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1922409192
- Entity type
- Individual (NPI-1)
- Name
- Ms. Christen Ballou
- Credential
- RN, CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2014
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F383897 | NY | Yes |
| 163W00000X | Registered Nurse | 686053 | NY |
Practice location
1411 Myrtle AveBrooklyn, NY 11237-4512
Phone 718-907-4301
Mailing address
1411 Myrtle AveBrooklyn, NY 11237-4512
Phone 718-907-4301
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