Active NPIIndividual provider

Shamani Ballard, APN

Nurse Practitioner in Haddon Heights, New Jersey

NPI Number1407399744
Practice location
210 W Atlantic Ave, Haddon Heights, NJ 08035-1715
Fax
856-796-9183
Last updated
November 18, 2016

Shamani Ballard is a Nurse Practitioner based in Haddon Heights, NJ. Shamani Ballard practices in Haddon Heights, NJ and has the professional credentials of APN. The NPI Number for Shamani Ballard is 1407399744 and holds a License No. 00000000 (NJ). The current practice location address for Shamani Ballard is 210 W Atlantic Ave, Haddon Heights, NJ 08035-1715 and can be reached out via phone at 856-547-0539 and via fax at 856-796-9183.

Provider Profile Details

NPI Number
1407399744
Provider Name
Shamani Ballard
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
210 W Atlantic Ave, Haddon Heights, NJ 08035-1715
Phone Number
856-547-0539
Fax Number
856-796-9183
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2016
Last Update Date
November 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Zip
08035-1715
Phone Number
856-547-0539
Fax Number
856-796-9183
Haddon Heights, NJ 08035Get directions →

Provider Business Mailing Address Details

Address
120 White Horse Pike
Suite 112
Haddon Heights, NJ 08035-1938
City
Haddon Heights
State
NJ
Zip
08035-1938
Phone Number
856-547-0539
Fax Number
856-796-9183

License Information

License Number
00000000
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shamani Ballard, APN?

The NPI number of Shamani Ballard, APN is 1407399744. It was assigned on November 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Shamani Ballard, APN?

Shamani Ballard, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 00000000.

Where does Shamani Ballard, APN practice?

The practice location is 210 W Atlantic Ave, Haddon Heights, NJ 08035-1715. The office can be reached at 856-547-0539 (phone) or 856-796-9183 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407399744 directly on the NPPES registry website.

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