JENNIFER BALLOU


Address: 30 E Apple St Ste 5254, Dayton, OH 45409
Phone: 9372084200

JENNIFER BALLOU (NPI# 1518420629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518420629
Entity Type Individual
Full Name JENNIFER BALLOU
Other Name JENNIFER KNOUS BALLOU
Credential APRN.CNP
Practice Address 30 E Apple St Ste 5254
Dayton
OH 45409
Mailing Address 3170 Kettering Blvd Bldg B3
Moraine
OH 45439-1924
Practice Telephone 9372084200
Practice Fax Number 9372082678
Mailing Telephone 9379913188
Mailing Fax Number 9372239811
Enumeration Date 2019-04-08
Last Update Date 2019-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
APRN.CNP.024498 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1924 Allentown Rd, Lima, OH 458051849 4192298928 4192295291
2400 Miami Valley Dr, Centerville, OH 454594774 9372084200 9372082678
30 E Apple St Ste 5254, Dayton, OH 45409 9372084200 9372082678
9000 N Main St, Englewood, OH 454151180 9372084200 9372082678

Office Location

Street Address 30 E APPLE ST STE 5254
City DAYTON
State OH
Zip Code 45409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245537935 Amanda Katherine Ward Registered Nurse 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2011-02-16
1912538562 Kathleen Sarah Derr Physician Assistant 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2020-02-03
1790347797 Denise Renee Stewart Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-07-01
1831753227 Arun Balagopal Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-05-01
1679030399 Rachael L Baarstad Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-02-28
1558828962 Zakiya Walker Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-02-22
1972076735 Robin Michelle Gardner Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-01-04
1124599451 Sarah Ellsworth Dudley Physician Assistant 30 E Apple St Ste 5254, Dayton, OH 45409 2018-12-16
1699254417 Abigail Chayadi Sprockel Physician Assistant 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2018-08-13
1710433909 Amy Ross Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409 2016-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
Find all providers in zip 45409

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982202768 Stephanie Yvonne Alexander Nurse Practitioner 2936 S Patterson Blvd, Dayton, OH 45419-1311 2020-10-13
1326659467 Crystal N Weaver Nurse Practitioner 859 E Social Row Rd, Dayton, OH 45458-4709 2020-08-12
1720501521 Patricia Ann Potts Nurse Practitioner 5338 Philadelphia Dr, Suite B, Dayton, OH 45415-3061 2017-07-24
1891153276 Rebecca Erin Donahue Nurse Practitioner 8069 Washington Village Dr, Dayton, OH 45458-1847 2016-02-01
1487023370 Amy Michelle Wiley Nurse Practitioner 128 E. Apple St., Dayton, OH 45409-2793 2015-09-21
1851477855 Shiron Devere Jones Nurse Practitioner 1222 S Patterson Blvd Ste 230, Dayton, OH 45402-2643 2006-10-31
1609489152 Kristen Leigh Hayhow Nurse Practitioner 30 E Apple St Ste 1480, Dayton, OH 45409-2932 2020-08-25
1235763855 Melissa Sue Einink Nurse Practitioner 1 Wyoming St, Dayton, OH 45409-2722 2020-02-24
1518506377 Syed Taqi Hussain Nurse Practitioner 8881 N Main St, Dayton, OH 45415-1333 2019-12-26
1144874314 Priscilla Ann Blevins Nurse Practitioner 30 E Apple St, Dayton, OH 45409-2939 2019-07-26
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45409

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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