Individual provider · Type 1 NPI

Willie Benjamin Ballou, NP-C

Nurse Practitioner · Tempe, AZ

NPI number 1548657802 Active

Practice location

4041 S Mcclintock Dr
Tempe, AZ 85282-5879

Other practice locations

  • 2718 Skyview Point Dr, None, Houston, TX 77047-8122 · (281) 908-6346

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAP127755 (TX)
Nurse Practitioner Primary 363L00000X229136 (AZ)

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…

5 other providers at this address

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About NPI 1548657802

Willie Benjamin Ballou, NP-C's National Provider Identifier is 1548657802, issued on Apr 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tempe, AZ. The record was last updated on Jul 7, 2021.