Doctor Name: | MS. SUSAN CRAMP BALL |
NPI Number: | 1447562988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MNSC, GNP-BC |
License Number: | A01447ANP |
Business Practice Address: | 111 Crestview Dr Pangburn, AR - 721218881 |
Business Phone Number: | 5017283164 |
Business Fax Number: | 5017283164 |
Mailing Address: | 111 Crestview Dr, PANGBURN |
State: | AR |
Postal Code: | 721218881 |
Phone Number: | 5017283164 |
Fax Number: | 5017283164 |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | A01447ANP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |