MR. JEFFREY BALLARD (NPI# 1841613684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841613684 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY BALLARD |
| Credential | APRN,FNP-BC |
| Practice Address |
844 S Madison St Tupelo MS 38801-4904 |
| Mailing Address |
1150 S Green St Suite 1a Tupelo MS 38804-4901 |
| Practice Telephone | 6623775400 |
| Mailing Telephone | 6623775050 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R874051 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790895514 | Jeffrey Ballard | Orthopaedic Surgery | 2486 N Ponderosa Dr, D-114, Camarillo, CA 93010-2376 | 2006-08-30 |
| 1942289871 | Jeffrey Frederik Ballard | Physician Assistant | 225 Smith Ave N, Suite 200, Saint Paul, MN 55102-2533 | 2006-01-10 |
| 1205837200 | Jeffrey Lawrence Ballard | Surgery | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | 2005-08-02 |
| Street Address |
844 S MADISON ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114983111 | Kenneth Wolfe | Family Medicine | 844 S Madison St, Tupelo, MS 38801-4904 | 2006-04-26 |
| 1417357468 | Allison Taylor | Nurse Practitioner | 844 S Madison St, Worklink, Tupelo, MS 38801-4904 | 2014-08-27 |
| 1962682765 | Misty Shea Mosley | Family Medicine | 844 S Madison St, Tupelo, MS 38801-4904 | 2007-11-08 |
| 1952335549 | North Mississippi Medical Clinics, Inc | Internal Medicine | 844 S Madison St, Tupelo, MS 38801-4904 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821941 | Katelyn C Boren | Nurse Practitioner | 499 Gloster Creek Vlg Ste A1, Tupelo, MS 38801-4749 | 2019-09-30 |
| 1538725478 | Kristen Marie Bailey | Nurse Practitioner | 131 Drive 1756, Tupelo, MS 38804-7605 | 2019-05-16 |
| 1720562762 | Sara Elizabeth Harrington | Nurse Practitioner | 499 S Gloster St Ste A1, Tupelo, MS 38801-5539 | 2018-09-15 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1952609802 | Morgan Barker | Nurse Practitioner | 990 S Madison St Ste 1, Tupelo, MS 38801-6308 | 2011-03-02 |
| 1760536783 | Lauren Mcgee Babb | Nurse Practitioner | 2633 Traceland Dr, Tupelo, MS 38801-4238 | 2007-01-23 |
| 1356415244 | Gloster North Family Medical Clinic Inc | Nurse Practitioner | 1714 N Gloster St, Tupelo, MS 38804-1216 | 2006-11-20 |
| 1851484240 | Nicole M Hindman | Nurse Practitioner | 4381 South Eason Blvd, Tupelo, MS 38801 | 2006-09-30 |
| 1619984390 | Angel S, Harbin | Nurse Practitioner | 149 N Eason Blvd, Tupelo, MS 38804 | 2006-08-02 |
| 1699781765 | Zandra Dawn Frans | Nurse Practitioner | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2006-07-31 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.