Doctor Name: | DEBORAH LYNN BALL |
NPI Number: | 1407969017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024167029 |
Business Practice Address: | 583c E Riverside Dr North Tazewell, VA - 246309573 |
Business Phone Number: | 2769799899 |
Business Fax Number: | 2769352889 |
Mailing Address: | Rr 4 Box 5000, CEDAR BLUFF |
State: | VA |
Postal Code: | 246099720 |
Phone Number: | 2769647481 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 12/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024167029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |