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Jesse Ballard, FNP-C
Nurse Practitioner in Provo, Utah
NPI 1629675699

Jesse Ballard is a Nurse Practitioner based in Provo, UT. Jesse Ballard practices in Provo, UT and has the professional credentials of FNP-C. The NPI Number for Jesse Ballard is 1629675699 and holds a License No. 11985380-4405 (Utah).

The current practice location address for Jesse Ballard is 1055 N 500 W Ste 205, Provo, UT and can be reached out via phone at 801-354-8225 and via fax at 801-418-0941.

Location: 1055 N 500 W Ste 205, Provo, UT, 84604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629675699
Provider Name
Jesse Ballard
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W Ste 205, Provo, UT, 84604
Phone Number
801-354-8225
Fax Number
801-418-0941
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W Ste 205
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-354-8225
Fax Number
801-418-0941
person
Provider Business Mailing Address Details
Address
1055 N 500 W Ste 205
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-354-8225
Fax Number
801-418-0941
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP61095878 (Washington)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11985380-4405 (Utah)
Definition
Definition to come...
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