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M. Janice Ballou, PNP
Pediatric Nurse Practitioner in Dallas, Texas
NPI 1952300105

M. Janice Ballou is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. M. Janice Ballou practices in Dallas, TX and has the professional credentials of PNP. The NPI Number for M. Janice Ballou is 1952300105 and holds a License No. 529718 (Texas).

The current practice location address for M. Janice Ballou is 5201 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-590-8006.

Location: 5201 Harry Hines Blvd, Dallas, TX, 75266-0599
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Provider Profile Details
NPI Number
1952300105
Provider Name
M. Janice Ballou
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
5201 Harry Hines Blvd, Dallas, TX, 75266-0599
Phone Number
214-590-8006
Fax Number
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
063830602 05 TX
8N4803 01 TX BLUE CROSS BLUE SHIELD
063830603 05 TX
institution
Provider Business Practice Location Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8006
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8006
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
529718 (Texas)
Definition
Definition to come...
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