Individual provider · Type 1 NPI

Nicole Sakura Ballard

Psychiatric/Mental Health Registered Nurse · Spanish Fork, UT

NPI number 1053114231 Active

Practice location

2172 E 7200 S
Spanish Fork, UT 84660-9340

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X118393123102 (UT)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1053114231

Nicole Sakura Ballard's National Provider Identifier is 1053114231, issued on Mar 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Spanish Fork, UT. The record was last updated on Mar 31, 2025.