Individual provider · Type 1 NPI

Jay Patrick Ballard, NP

Nurse Practitioner · Charlotte, NC

NPI number 1780165852 Active

Practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 2001 Vail Ave, Charlotte, NC 28207-1248 · (704) 304-6070
  • 920 Church St N, Suite 255, Concord, NC 28025-2927 · (704) 403-1331
  • 8800 N Tryon St, Charlotte, NC 28262-3300 · (704) 863-6241
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-0720

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X5010891 (NC)
Nurse Practitioner Primary 363L00000X5010891 (NC)

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 1780165852

Jay Patrick Ballard, NP's National Provider Identifier is 1780165852, issued on Aug 27, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.