DR. JESSICA BALLARD (NPI# 1730637224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730637224 |
| Entity Type | Individual |
| Full Name | DR. JESSICA BALLARD |
| Credential | DNP, WHNP-BC |
| Practice Address |
77 Nealy Avenue Joint Base Langley-eustis VA 23665 |
| Practice Telephone | 7577648290 |
| Mailing Telephone | 7577648290 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
RN185372 | AZ | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP8891 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809616 | Jessica Ballard | Lactation Consultant, Non-RN | 177 S Easy St, Missoula, MT 59802-5485 | 2018-04-28 |
| 1568000768 | Jessica Ballard | Specialist/Technologist | 17823 Poplar Grove Rd, Poplar Grove, IL 61065-9014 | 2019-12-18 |
| 1568020196 | Jessica Ballard | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2019-05-29 |
| 1962635086 | Jessica Lynn Ballard | Counselor | 1072 S Dixie Blvd, Radcliff, KY 40160-1103 | 2009-08-25 |
| 1407925332 | Jessica A Ballard | Audiologist | 3525 Nw 56th St, A-150, Oklahoma City, OK 73112-4550 | 2006-11-07 |
| Street Address |
77 NEALY AVENUE |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732145 | Necia Mcree Pope | Urology | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2005-10-05 |
| 1346634391 | Nelsi Mora | Obstetrics & Gynecology | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2015-03-26 |
| 1194121145 | Lucy Knippenberg | Dentist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 | 2014-11-18 |
| 1134523848 | Suzanne Burke Allen | Physical Therapist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-10-09 |
| 1720480957 | Lynnette Cipolla | Dental Hygienist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-09-18 |
| 1013335223 | Brandon Trimbell | Student in an Organized Health Care Education/Training Program | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-04-03 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1821333048 | Roger Luis Mendez | Pharmacist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-11-28 |
| 1851635619 | Kimberly R Moser | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-11-19 |
| 1992058317 | Denise Nielson | Speech-Language Pathologist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23365-2040 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1609419704 | Crystal Zacker | Nurse Practitioner | 3843 Mountain Rd, Glen Allen, VA 23060-1936 | 2019-10-21 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
Please comment or provide details below to improve the information on DR. JESSICA BALLARD.
| 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.