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JESSE BALLARD, FNP-C
FNP-C
Nurse Practitioner
NPI: 1629675699IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
AP61095878(WA)2161573(ID)11985380-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 700 W IRONWOOD DR STE 120
COEUR D ALENE, ID 83814 - Phone
- (208) 625-3640
Quick Facts
- NPI
- 1629675699
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 4
- Years in Practice
- 6
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