Individual provider · Type 1 NPI

Martha Katheryn Ballard, FNP

Family Nurse Practitioner · Memphis, TN

NPI number 1710163373 Active

Practice location

1910 Nonconnah Blvd, Suite 120
Memphis, TN 38132-2113

Fax (901) 448-6657

Mailing address

66 N Pauline St, Suite 206
Memphis, TN 38105-5105

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11397 (TN)
Family Nurse Practitioner 363LF0000X137416 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1710163373

Martha Katheryn Ballard, FNP's National Provider Identifier is 1710163373, issued on Jan 14, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Jan 14, 2008.