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Cadesha Coreen Ballard
Licensed Practical Nurse in Philadelphia, Pennsylvania
NPI 1205522794

Cadesha Coreen Ballard is a Licensed Practical Nurse based in Philadelphia, PA. Cadesha Coreen Ballard practices in Philadelphia, PA. The NPI Number for Cadesha Coreen Ballard is 1205522794 and holds a License No. PN28451 (Pennsylvania).

The current practice location address for Cadesha Coreen Ballard is 1745 N 4Th St, Philadelphia, PA and can be reached out via phone at 215-236-0100.

Location: 1745 N 4Th St, Philadelphia, PA, 19122-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205522794
Provider Name
Cadesha Coreen Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1745 N 4Th St, Philadelphia, PA, 19122-3008
Phone Number
215-236-0100
Fax Number
Provider Enumeration Date
04/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1745 N 4Th St
City
Philadelphia
State
Pennsylvania
Zip
19122-3008
Phone Number
215-236-0100
Fax Number
person
Provider Business Mailing Address Details
Address
1745 N 4Th St
City
Philadelphia
State
Pennsylvania
Zip
19122-3008
Phone Number
215-236-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN28451 (Pennsylvania)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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