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Krysta Ballard
Licensed Practical Nurse in Roland, Oklahoma
NPI 1225616857

Krysta Ballard is a Licensed Practical Nurse based in Muldrow, OK. Krysta Ballard practices in Roland, OK. The NPI Number for Krysta Ballard is 1225616857 and holds a License No. L0054032 (Oklahoma).

The current practice location address for Krysta Ballard is 117 E Ray Fine Blvd, Roland, OK and can be reached out via phone at 918-427-3344.

Location: 117 E Ray Fine Blvd, Roland, OK, 74948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225616857
Provider Name
Krysta Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
117 E Ray Fine Blvd, Roland, OK, 74948
Phone Number
918-427-3344
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 E Ray Fine Blvd
City
Roland
State
Oklahoma
Zip
74954-5198
Phone Number
918-427-3344
Fax Number
person
Provider Business Mailing Address Details
Address
117 E Ray Fine Blvd
City
Roland
State
Oklahoma
Zip
74954-5198
Phone Number
918-427-3344
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L0054032 (Oklahoma)
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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