Individual provider · Type 1 NPI
Petra Kay Nicola Stephens-Ballard
Nurse Practitioner · Winter Haven, FL
Practice location
200 Avenue F NE
Winter Haven, FL 33881-4131
Fax (863) 292-4112
Mailing address
850 S Char Mil Ave
Lake Alfred, FL 33850-2802
Other practice locations
- 850 S Char Mil Ave, Lake Alfred, FL 33850-2802 · (407) 728-0409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9460123 (FL) |
| Nurse Practitioner Primary | 363L00000X | APRN11028305 (FL) |
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 wit…
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About NPI 1346024569
Petra Kay Nicola Stephens-Ballard's National Provider Identifier is 1346024569, issued on Aug 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winter Haven, FL. The record was last updated on Nov 4, 2025.