Individual provider · Type 1 NPI

Melissa Marie Ballard-Martin, A.P.R.N.

Family Nurse Practitioner · Orange Park, FL

NPI number 1891381117 Active

Practice location

1563 Kingsley Avenue, Suite 106
Orange Park, FL 32073

Fax (904) 389-5332

Mailing address

2 Shircliff Way, Suite 700 Depaul Bldg.
Jacksonville, FL 32204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X3-000140 (AL)
Family Nurse Practitioner Primary 363LF0000XAPRN11019017 (FL)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1891381117

Melissa Marie Ballard-Martin, A.P.R.N.'s National Provider Identifier is 1891381117, issued on Dec 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange Park, FL. The record was last updated on Jul 20, 2022.